FDA Adverse Event Other Summary report: N

DIDECO ELECTA

MDR report key: 1842391 · Received September 16, 2010

Report

Report Number
1718850-2010-00151
Event Type
Other
Date Received
September 16, 2010
Product Code
CAC
PMA / PMN Number
K020647
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SORIN GROUP (B)(4) RECEIVED A MEDWATCH REPORT, (B)(4), STATING THAT THE CELL SAVER MACHINE MALFUNCTIONED. SORIN GROUP (B)(4) MANUFACTURES THE ELECTA AUTOTRANSFUSION MACHINE. THE INCIDENT OCCURRED AT (B)(6). THIS MEDWATCH REPORT IS FILED ON BEHALF OF SORIN GROUP (B)(4). RISK MANAGEMENT WAS CONTACTED AND STATED THAT THERE WERE NO PATIENT ISSUES. THE ELECTA HAS BEEN RETURNED TO SORIN GROUP (B)(4) FOR EVALUATION. THE INVESTIGATION IS ON-GOING. A FOLLOW-UP REPORT WILL BE SENT WHEN THE INVESTIGATION IS COMPLETE.

Description of Event or Problem · 1

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Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 DIDECO ELECTA NONE CAC 75210

Patients

Seq Age Sex Outcome Treatment
1