FDA Adverse Event Malfunction Summary report: N

VASOVIEW HEMOPRO 2

MDR report key: 19182721 · Received April 25, 2024

Report

Report Number
2242352-2024-00415
Event Type
Malfunction
Date Received
April 25, 2024
Report Date
June 12, 2024
Manufacturer
MAQUET CARDIOVASCULAR LLC
Product Code
GEI
UDI-DI
00607567700406
PMA / PMN Number
K101274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

TRACKWISE ID#: (B)(4). NO LOT # WAS REPORTED AND NO SPECIFIC EVENT SITE WAS REPORTED, SO THEREFOR NO SHIP HISTORY WAS CONDUCTED.

Additional Manufacturer Narrative · 0

TW ID (B)(4) SINCE THE DEVICE IS NOT AVAILABLE TO BE RETURNED TO US, A TECHNICAL EVALUATION CANNOT BE PERFORMED. PER OUR STANDARD SOP'S, ALL EVENTS ARE TRACKED AND TRENDED TO DETERMINE WHETHER OR NOT ANY TRENDS DEVELOP. H3 OTHER TEXT : DEVICE NOT RETURNED.

Additional Manufacturer Narrative · 0

TW # (B)(4). CORRECTED SECTION: H6- PROBLEM CODE CHANGED TO 2900.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

RECEIVED INCROWD SURVEY 27399-EVH PMS- JULY 2023, WHERE THEY COMMENTED "THE POWER CORD IS DIFFICULT TO REMOVE" WHEN ASKED ABOUT THE HARVESTING TOOL HEMOPRO 2 (VH-4000) EXTENSION CABLE CONNECTIONS INTERFACING WITH THE HARVESTING TOOL OR VV6 PRO HARVESTING CANNULA AND POWER SUPPLY OR GENERATOR ARE EASILY INSERTED AND REMOVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1468300 VASOVIEW HEMOPRO 2 ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MAQUET CARDIOVASCULAR LLC VH-4000 00607567700406

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.