FDA Adverse Event Malfunction Summary report: N

VASOVIEW HEMOPRO 2

MDR report key: 19515435 · Received June 11, 2024

Report

Report Number
2242352-2024-00658
Event Type
Malfunction
Date Received
June 11, 2024
Report Date
August 2, 2024
Manufacturer
MAQUET CARDIOVASCULAR LLC
Product Code
GEI
UDI-DI
00607567700406
PMA / PMN Number
K101274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER
Health Professional
N

Narratives

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.

Additional Manufacturer Narrative · 0

TRACKWISE ID#: (B)(4). UPDATED SECTIONS: B-4, G-3, G-6, H-2, H-6, H-10, H-11. CORRECTED SECTION H-6: HEALTH EFFECT ¿ CLINICAL CODE FROM "1888" TO "4580". NO LOT # WAS REPORTED AND NO SPECIFIC EVENT SITE WAS REPORTED, SO THEREFORE NO SHIP HISTORY WAS CONDUCTED.

Description of Event or Problem · 0

RECEIVED INCROWD SURVEY 36836-EVH PMS- MAY 2024, WHERE THEY COMMENTED "HARD TO DO SPOT BLEEDING BECAUSE THE CAUTERIZE ONLY BETWEEN THE JAWS", WHEN ASKED ABOUT THE HARVESTING TOOL HEMOPRO 2 (VH-4000) ABILITY TO PERFORM SPOT CAUTERY/SPOT COAGULATION TO STOP SMALL BLEEDERS IN THE TUNNEL WALL.

Description of Event or Problem · 0

N/A

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
172872 VASOVIEW HEMOPRO 2 ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MAQUET CARDIOVASCULAR LLC VH-4000 00607567700406

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.