FDA Adverse Event Malfunction Summary report: N

GUIDANT VASOVIEW 7 ENDOSCOPIC VESSEL HARVESTING SYSTEM

MDR report key: 1023490 · Received April 2, 2008

Report

Report Number
2953148-2008-00318
Event Type
Malfunction
Date Received
April 2, 2008
Date of Event
March 19, 2008
Report Date
March 19, 2008
Manufacturer
GUIDANT CARDIAC SURGERY
Product Code
GCJ
PMA / PMN Number
K030512
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

AFTER THE PROCEDURE, THE HOSPITAL DISCARDED THE PRODUCT. SINCE THE PRODUCT WAS NOT RETURNED TO CARDIAC SURGERY FOR EVALUATION, IT WILL BE DIFFICULT TO CONFIRM THE REPORTED PROBLEM. A LHR REVIEW CANNOT BE PERFORMED BECAUSE THE LOT NUMBER WAS NOT PROVIDED BY THE HOSPITAL.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT DURING THE ENDOSCOPIC VEIN HARVESTING PROCEDURE, THE BISECTOR WAS INTERMITTENTLY SMOKING AND WOULD NOT CAUTERIZE. A REPLACEMENT UNIT WAS USED TO COMPLETE THE PROCEDURE. THE HOSPITAL DID NOT REPORT ANY PT COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GUIDANT VASOVIEW 7 ENDOSCOPIC VESSEL HARVESTING SYSTEM GCJ GUIDANT CARDIAC SURGERY VH-3200 UNK

Patients

Seq Age Sex Outcome Treatment
1 NA