FDA Adverse Event Malfunction Summary report: N

PERFECT CUT BULLET-TIP ROTATING AORTIC PUNCH

MDR report key: 1943580 · Received December 17, 2010

Report

Report Number
1943580
Event Type
Malfunction
Date Received
December 17, 2010
Date of Event
December 16, 2010
Report Date
December 17, 2010
Manufacturer
QUEST MEDICAL, INC.
Product Code
DWS
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

DEFECTIVE AORTIC PUNCH PER USER, THE CARDIAC SURGEON, "IT WILL NOT CUT."====================== HEALTH PROFESSIONAL'S IMPRESSION======================SURGEON SAID IT WOULDN'T CUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERFECT CUT BULLET-TIP ROTATING AORTIC PUNCH INSTRUMENT, SURGICAL, CARDIOVASCULAR DWS QUEST MEDICAL, INC. * 0371140Y18

Patients

Seq Age Sex Outcome Treatment
1 59 YR