FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW II
MDR report key: 1941720
·
Received December 20, 2010
Report
- Report Number
- 1828100-2010-02795
- Event Type
- Malfunction
- Date Received
- December 20, 2010
- Date of Event
- December 3, 2010
- Report Date
- December 20, 2010
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EVAL IN PROGRESS, BUT NOT YET CONCLUDED.
Description of Event or Problem · 1
DURING ROUTINE TESTING OF THE DEVICE AT THE SERVICE CENTER, THE SERVICE TECH REPORTED THE CABLE WAS NOISY. NO OTHER DETAILS REGARDING THE NATURE OF THE EVENT WERE PROVIDED. SINCE THE EVENT OCCURRED DURING ROUTINE TESTING OF THE DEVICE, THERE WAS NO PT INVOLVEMENT DURING THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO STERNAL SAW II | FLEXIBLE DRIVE CABLE | GFA | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 15665 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |