May 4, 2018
URGENT FIELD SAFETY NOTICE MEDICAL DEVICE FIELD CORRECTION - Maquet/Datascope CARDIOSAVE Intra-Aortic Balloon Pump (IABP)
|AFFECTED PRODUCT||PART NUMBER||DISTRIBUTION DATE|
|Cardiosave Hybrid IABP||0998-00-0800-XX & 0998-UC-0800-XX (excluding 0998-00-0800-83, 0998-UC-0800-83 & 0998-00-0800-75)||March 06, 2012 through April 26, 2018|
PLEASE FORWARD THIS INFORMATION TO ALL CURRENT AND POTENTIAL CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) USERS WITHIN YOUR INSTITUTION.
Dear Risk Manager,
Maquet/ Getinge is initiating a voluntary Urgent Medical Device Field Correction for the CARDIOSAVE intra-aortic balloon pump (IABP) due to the issue presented below, that could result in an interruption and/or delay in therapy to the patient prior to and/or during use of Cardiosave IABP.
Identification of the Issue:
Maquet/Getinge has received complaints involving the Cardiosave IABPs regarding ingress of fluids into the IABP affecting various electronic circuit boards. This situation would prevent initiation or continuation of therapy. This Field Corrective Action addresses this issue.
To date, Maquet/Getinge has received one report of an adverse event in which one death was associated with a saline spill / liquid ingress.
IABPs are electro mechanical systems with various electronic circuit boards for control of the therapy. Liquid spills, such as saline, can create bridges of resistance between the circuit components; causing the circuit not to function as intended. This can impact initiation or continuation of therapy. Maquet/Getinge has evaluated the potential entry points and created a protective top cover for the Cardiosave IABP that addresses this potential ingress issue. The required correction for the field action will be performed by a Maquet/Getinge Sales or Service representative by installing the protective top cover onto the IABP on-site.
Facilities where only one CARDIOSAVE IABP unit is available will be prioritized for this correction.
General Information and Overall Action for User:
Patients receiving IABP therapy are in critical condition. Failure to start or sudden interruption of therapy could result in unsafe, hemodynamic instability. Until the protective top cover is installed, please adhere to the following instructions when using Cardiosave intra-aortic balloon pump:
1) Pursuant to the Caution section of our Cardiosave IABP Operating/User Instructions, "Never place fluids on top of this unit. Make sure that the saline container and tubing do not hang directly over the IABP. In case of accidental spillage, wipe clean immediately and have the unit serviced to ensure no hazard exists"
In the unlikely event that a sudden interruption of therapy occurs, transfer the patient to an alternative IABP. The Intra-Aortic Balloon (IAB) Catheter Instructions for Use reiterates that a catheter should not remain inactive for more than 30 minutes, due to the potential for thrombus formation. If an alternative IABP is unavailable; manually inflate the IAB with air or helium and immediately aspirate, repeat every 5 minutes until either an alternate IABP is available or alternatively, the intra-aortic balloon catheter should be removed from the patient. Please refer to the intra-aortic balloon catheter instructions for use, Manually Inflating and Deflating a Catheter. The patient should be treated according to your facility’s treatment protocols and caregivers’ clinical judgment to ensure hemodynamic stability.
Your facility will be contacted by a Maquet/Getinge representative to schedule on-site service of your Cardiosave IABP by a Maquet/ Getinge Sales or Service Representative.
Please complete the Medical Device Field Correction - Response Form to acknowledge that you have received this Medical Device Field Correction letter. Please return the completed form to your local Maquet/Getinge office.
CARDIOSAVE IABP units are serialized. The part number and serial number can be found on the front panel of the CARDIOSAVE IABP unit. Please refer to Figure 1 on page 3 for a depiction of the CARDIOSAVE IABP and the location of the part and serial numbers.
Figure 1: CARDIOSAVE IABP – Location of Part Number (REF) and Serial Number (SN)
If you are a distributor who has shipped any affected products to customers, please forward this document to their attention for appropriate action.
Maquet/Getinge Group apologizes for any inconvenience you may experience as a result of this field correction. If you have any questions, please contact your local Maquet/Getinge representative.
Thank you for your cooperation and immediate assistance.
Director Regulatory Affairs and Quality Compliance Field Actions
45 Barbour Pond Drive, Wayne, NJ 07470 USA