BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    TERUMO PERFUSION SYSTEM 8000

    MDR report key: 1730964 · Received June 17, 2010

    Report

    Report Number
    1828100-2010-00626
    Event Type
    Malfunction
    Date Received
    June 17, 2010
    Date of Event
    May 28, 2010
    Report Date
    June 17, 2010
    Manufacturer
    TERUMO CARDIOVASCULAR SYSTEMS CORP
    Product Code
    JOR
    PMA / PMN Number
    K915183
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    EVALUATION IN PROGRESS, BUT NOT YET CONCLUDED.

    Description of Event or Problem · 1

    DURING PREVENTATIVE MAINTENANCE OF THE DEVICE, THE USER REPORTED THAT CHANNEL "A" WOULD DISPLAY A ZERO TEMPERATURE READING, BUT DID NOT DISPLAY ANY OTHER TEMPERATURE READINGS. NO OTHER DETAILS REGARDING THE NATURE OF THE EVENT WERE PROVIDED. SINCE THE EVENT OCCURRED DURING PREVENTATIVE MAINTENANCE, THERE WAS NO PATIENT INVOLVEMENT DURING THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 TERUMO PERFUSION SYSTEM 8000 SAFETY MONITOR JOR TERUMO CARDIOVASCULAR SYSTEMS CORP 16414

    Patients

    Seq Age Sex Outcome Treatment
    1