Safety Alert for Commercial Name: Intra - Aortic Balloon Pump. Technical Name: Intra-Aortic Balloon Pump System. ANVISA registration number: 10390690062. Risk class: III. Affected model: CS100 intra-aortic balloon pump; Intra-aortic balloon pump CS300. Affected serial numbers: All units distributed between March 24, 2003 and December 11, 2013.

According to Agência Nacional de Vigilância Sanitária (ANVISA), this safety alert involved a device in Brazil that was produced by Maquet Cardiopulmonary Do Brasil Industria E Comercio Ltda; Datascope Corp..

What is this?

Alerts provide important information and recommendations about products. Even though an alert has been issued, it does not necessarily mean a product is considered to be unsafe. Safety Alerts, addressed to health workers and users, may include recalls. They can be written by manufacturers, but also by health officials.

Learn more about the data here
  • Type of Event
    Safety alert
  • Event ID
    2361
  • Date
    2017-08-15
  • Event Country
  • Event Source
    ANVISA
  • Event Source URL
  • Notes / Alerts
    Brazilian data is current through June 2018. All of the data comes from Anvisa, except for the categories Manufacturer Parent Company and Product Classification.
    The Parent Company and the Product Classification were added by ICIJ.
    The parent company information is based on 2017 public records. The device classification information comes from FDA’s Product Classification by Review Panel, based on matches of data from the U.S. and Brazil.
  • Extra notes in the data
    Patients receiving IABP therapy are in critical condition and sudden cessation of therapy may result in unsafe hemodynamic instability. Follow the instructions below when using an affected IABP CS100i, CS100 or CS300: 1) Under the WARNINGS section of our IABP CS100i, CS100 or CS300 Operator's Instructions, clinicians are instructed not to leave the patient unattended during therapy with IABP. 2) An additional hazard associated with a sudden withdrawal is related to the static (non-inflating or deflating) condition of the balloon during cessation of therapy. It is important to note the following WARNING in the IABP CS100i, CS100 or CS300 Operational Instruction Manual. WARNING: The patient's flask should not remain inactive in the patient (ie, not inflate or deflate) for more than 30 minutes because of the potential for thrombus formation. 3) Until service is performed, we recommend that the IABP be connected before inserting the IAB catheter to allow the IABP to successfully complete its self-test. This action will take less than 60 seconds to complete. If the IABP fails to successfully complete the self-test and shows the test failure code 58, remove the IABP from the service and contact your Maquet / Getinge Sales and Service Office. In the unlikely event that a sudden cessation of therapy occurs, transfer the patient to an alternative LPAI. If an alternative IABP is not available, inflate the IAB manually with air or helium and aspirate immediately. Refer to the instructions for use of the intra-aortic balloon catheter, Manually Inflating and Deflating a Catheter. The IAB Instructions for Use reiterate that a catheter should not remain inactive for more than 30 minutes because of the potential for thrombus formation. Alternatively, the intra-aortic balloon catheter should be removed from the patient. The patient should be treated according to the treatment protocols of the unit and with the clinical judgment of the care providers to ensure hemodynamic stability. If you wish to notify technical complaints and adverse events use the following channels: Notivisa: Notices of adverse events (AE) and technical complaints (QT) for products subject to Sanitary Surveillance should be made through the NOTIVISA System. To access the System, you must register and select the Health Professional option, if you are a liberal professional or the Institution / Entity option, if you are a professional of an institution / entity. Technovigilance System: Patient or citizen can notify through the Technovigilance System / SISTEC access through the link
  • Reason
    Maquet / getinge received a complaint involving an iabp cs300 that did not work due to an electrical test failure code at 58 (ventilation initialization tests fail), maintenance code no. 3, and a self-fill failure, which were associated with the death of a patient due to failure of the device to initiate therapy. an electrical test failure code 58 is caused by a solenoid valve that requires more power than the solenoid control board can deliver to open the valve. the lack of power prevents the coil from moving the plunger causing the valve to not open. this is recognized by the system as an electrical test failure code at 58 when connecting to iabp. units distributed after december 11, 2013 are not affected by field correction. maquet / getinge is working on replacing the solenoid control boards. replacing the board requires a service representative to perform the service on the cs100i, cs100, and cs300 iabps.
  • Action
    Field Action Code 2249723-4 / 27 / 2017-001-C triggered under the responsibility of Maquet Cardiopulmonary Do Brasil Industria E Comercio Ltda. Field correction.

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