FDA Adverse Event Malfunction Summary report: N

GUIDANT VASOVIEW 7 ENDOSCOPIC VESSEL HARVESTING SYSTEM

MDR report key: 1023531 · Received April 2, 2008

Report

Report Number
2953148-2008-00316
Event Type
Malfunction
Date Received
April 2, 2008
Date of Event
March 14, 2008
Report Date
March 17, 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
DC, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

THE HOSP REPORTED THAT DURING PRE-TEST PREPARATION OF AN ENDOSCOPIC VEIN HARVESTING PROCEDURE, THE DEVICE WOULD NOT CAUTERIZE AND WAS GETTING ANY ENERGY. A REPLACEMENT UNIT WAS USED TO COMPLETE THE PROCEDURE. THE HOSP 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