FDA Adverse Event Malfunction Summary report: N

VASOVIEW HEMOPRO ENDOSCOPIC VESSEL HARVESTING SYSTEM

MDR report key: 1182659 · Received September 25, 2008

Report

Report Number
2953148-2008-00814
Event Type
Malfunction
Date Received
September 25, 2008
Date of Event
August 18, 2008
Report Date
September 5, 2008
Manufacturer
GUIDANT CARDIAC SURGERY
Product Code
GEI
PMA / PMN Number
K052274
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HAS NOT YET BEEN RETURNED TO CARDIAC SURGERY FOR INVESTIGATION. WE WILL CONTINUE TO PURSUE THE DEVICE BEING RETURNED TO CARDIAC SURGERY FOR INVESTIGATION WITH THE CUSTOMER. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE DEVICE HAS BEEN RETURNED AND THE INVESTIGATION COMPLETED.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT DURING THE ENDOSCOPIC VEIN HARVESTING PROCEDURE, THE HEMOPRO DEVICE WOULD NOT TURN OFF WHEN THE ACTIVATION TOGGLE WAS ACTIVATED. THE JAWS WERE RED HOT AND STARTED OVERHEATING. THE DEVICE'S CORD WAS IMMEDIATELY UNPLUGGED. THE HOSPITAL USED A SECOND HEMOPRO DEVICE, SUCCESSFULLY COMPLETED THE CASE. NO PATIENT COMPLICATIONS WERE REPORTED BY THE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VASOVIEW HEMOPRO ENDOSCOPIC VESSEL HARVESTING SYSTEM GEI GUIDANT CARDIAC SURGERY VH-3000 UNK

Patients

Seq Age Sex Outcome Treatment
1 NA