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 |