FDA Adverse Event Injury Summary report: N

AORTIC PUNCH

MDR report key: 12634867 · Received October 14, 2021

Report

Report Number
1645362-2021-00003
Event Type
Injury
Date Received
October 14, 2021
Date of Event
September 23, 2021
Report Date
October 14, 2021
Manufacturer
INTERNATIONAL BIOPHYSICS CORPORATION
Product Code
DWS
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

AORTIC PUNCH DOES NOT RELEASE. PATIENT WAS ADMITTED FOR ELECTIVE CORONARY ARTERY BYPASS GRAFT UNDER MR. DW IN CT2. WHILE CASE WAS ONGOING, SURGEONS USED THE AORTIC PUNCH ON THE AORTA TO MAKE A HOLE BUT THE PUNCH GOT STUCK ON THE AORTA AND DOES NOT RELEASE. THEY ENDED UP CUTTING AROUND THE AORTA TO RELEASE THE PUNCH. THE SURGERY WAS COMPLETE SUCCESSFULLY WITH NO FURTHER COMPLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1529085 AORTIC PUNCH AORTA PUNCH, SINGLE USE DWS INTERNATIONAL BIOPHYSICS CORPORATION APL44 041221-10024

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention