FDA Adverse Event
Malfunction
Summary report: N
ARTERIAL CANNULA
MDR report key: 2062015
·
Received March 17, 2011
Report
- Report Number
- 1828100-2011-00860
- Event Type
- Malfunction
- Date Received
- March 17, 2011
- Date of Event
- February 15, 2011
- Report Date
- March 17, 2011
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- DWF
- PMA / PMN Number
- K930620
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE USER REPORTED THAT THE MATERIAL IS MUCH STIFFER THAN WHAT HAS BEEN USED IN THE PAST. THE USER IS QUESTIONING WHY THIS IS OCCURRING. THERE WERE NO REPORTED ADVERSE CONSEQUENCES TO THE PT AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ARTERIAL CANNULA | CANNULA AND CATHETER | DWF | TERUMO CARDIOVASCULAR SYSTEMS CORP. | L7302 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |