FDA Adverse Event Malfunction Summary report: N

VASOVIEW 7XB ENDOSCOPIC VESSEL HARVESTING SYSTEM

MDR report key: 1191877 · Received October 1, 2008

Report

Report Number
2953148-2008-00820
Event Type
Malfunction
Date Received
October 1, 2008
Date of Event
September 11, 2008
Report Date
September 11, 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
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION WAS COMPLETED AND THE DEVICE PASSED THE ELECTRICAL SPECIFICATIONS AND THE SIMULATED CAUTERY TEST. THE REPORTED COMPLAINT IS NOT CONFIRMED. A REVIEW OF THE FINISHED DEVICE LOT HISTORY RECORD DID NOT REVEAL ANY NON CONFORMANCE REPORTS, WHICH COULD HAVE CONTRIBUTED TO THIS COMPLAINT.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT DURING THE ENDOSCOPIC VEIN HARVESTING PROCEDURE, THE BISECTOR WOULD NOT CAUTERIZE. TROUBLESHOOTING CONSISTED OF CHANGING THE: CORD, BOVIE AND FOOT PEDAL WITH SIMILAR RESULTS. A REPLACEMENT DEVICE WAS USED AND INITIALLY THAT DID NOT CAUTERIZE, BUT EVENTUALLY, IT DID CAUTERIZE AND THE PROCEDURE WAS SUCCESSFULLY COMPLETED. NO PT COMPLICATIONS WERE REPORTED BY THE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VASOVIEW 7XB ENDOSCOPIC VESSEL HARVESTING SYSTEM GCJ GUIDANT CARDIAC SURGERY VH-3200 8071072

Patients

Seq Age Sex Outcome Treatment
1 NA