CARDIOSAVE Hybrid intra-aortic balloon pump (IABP) and CARDIOSAVE Rescue IABP – damaged lithium ion batteries may give off smoke, a bad smell or produce sparks

Manufactured by Maquet – until storage cases are available, avoid carrying spare batteries when transporting the IABP to reduce the risk of dropping and damaging them.


Identify affected batteries: they have part number 0146-00-0097 and were distributed from 12 December 2011 to 9 November 2016.

Maquet’s Field Safety Notice (FSN) advises users not to take spare batteries when transporting the IABP until they receive a re-usable transport and storage case.

Until the cases are available use an inverter and a transport AC power supply instead of carrying spare batteries.

If these power supplies are not available, carry out an individual risk assessment for the continued use of the devices with batteries whilst in transport.

Contact Maquet to acknowledge receipt of the FSN

Arrange for Maquet to provide (free of charge) warning labels to be applied to batteries and re-usable battery transport and storage cases.

Action by

All those who use these devices.

Deadlines for actions

Actions underway: 28 March 2017

Actions complete: 7 June March 2017

Manufacturer contacts

Hari Rajendran, Regulatory Affairs Officer,
Maquet Ltd
Tel: 0191 519 6200



If you are responsible for cascading these alerts in your organisation, these are our suggested distribution lists.

Trusts (NHS boards in Scotland)

CAS and SABS (NI) liaison officers for onward distribution to all relevant staff including:

  • A&E departments
  • Ambulance services directors
  • Ambulance staff
  • Anaesthesia, directors of
  • Cardiology departments
  • Cardiothoracic departments
  • Clinical perfusionists
  • Coronary care departments
  • EBME departments
  • Intensive care units
  • Paramedics
  • Patient transport managers
  • Resuscitation officers and trainers
  • Risk managers
  • Supplies managers

Public Health England

Directors for onward distribution

  • Heads of health, safety and quality
  • Risk manager
  • Safety officers

Independent distribution

Establishments registered with the Care Quality Commission (CQC) (England only):

  • Hospices
  • Hospitals in the independent sector

Please note: CQC and OFSTED do not distribute these alerts. Independent healthcare providers and social care providers can sign up to receive MDAs directly from the Department of Health’s Central Alerting System (CAS) by sending an email to: and requesting this facility.



Send enquiries about this notice to MHRA, quoting reference number MDA/2017/004 or 2016/012/029/291/010.

Technical aspects

Emma Rooke and Hiten Patel, MHRA

Tel: Tel: 020 3080 6609 / 020 3080 6115

Email: or

Clinical aspects

MHRA Devices Clinical Team

Tel: 020 3080 7274


Reporting adverse incidents in England

Through Yellow Card

Northern Ireland

Alerts in Northern Ireland are distributed via the NI SABS system

Enquiries and adverse incident reports in Northern Ireland should be addressed to:

Northern Ireland Adverse Incident Centre,
CMO Group,
Department of Health,
Social Services and Public Safety
Tel: 028 9052 3868



Reporting adverse incidents in Northern Ireland

Please report directly to NIAIC using the forms on our website.


Enquiries and adverse incident reports in Scotland should be addressed to:

Incident Reporting and Investigation Centre,
Health Facilities Scotland,
NHS National Services Scotland
Tel: 0131 275 7575
Fax: 0131 314 0722


Reporting adverse incidents in Scotland

NHS Boards and Local Authorities in Scotland – report to Health Facilities Scotland.

Contractors such as private hospitals carrying out NHS work and private care homes that accept social work funded clients – report to Health Facilities Scotland.

Private facilities providing care to private clients report to the Care Inspectorate and MHRA.


Enquiries in Wales should be addressed to:

Healthcare Quality Division,
Welsh Government
Tel: 02920 823 624 / 02920 825 510

Reporting adverse incidents in Wales

Report to MHRA through Yellow Card and follow specific advice for reporting in Wales in MDA/2004/054 (Wales)

Download document


Published 7 March 2017