FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW II
MDR report key: 1893122
·
Received November 2, 2010
Report
- Report Number
- 1828100-2010-02052
- Event Type
- Malfunction
- Date Received
- November 2, 2010
- Date of Event
- July 21, 2010
- Report Date
- November 2, 2010
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EVALUATION IN PROGRESS, BUT NOT YET CONCLUDED.
Description of Event or Problem · 1
DURING ROUTINE TESTING OF THE DEVICE AT THE SERVICE CENTER, THE USER REPORTED THE BLADE GUARD WAS BENT. NO OTHER DETAILS REGARDING THE NATURE OF THE EVENT WERE PROVIDED. THE SAW WAS ORIGINALLY RETURNED FOR A NOISE ISSUE. SINCE THE EVENT OCCURRED DURING ROUTINE TESTING OF THE DEVICE, THERE WAS NO PATIENT INVOLVEMENT DURING THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO STERNAL SAW II | STERNUM SAW | GFA | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 5590 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |