FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW I
MDR report key: 2102663
·
Received May 23, 2011
Report
- Report Number
- 1828100-2011-01450
- Event Type
- Malfunction
- Date Received
- May 23, 2011
- Date of Event
- April 27, 2011
- Report Date
- May 23, 2011
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DC, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Description of Event or Problem · 1
DURING PREPARATION OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE, THE USER REPORTED THAT SOME NOISES OCCURRED, BUT THE SAW WOULD NOT WORK. AS A RESULT, AN ALTERNATE DEVICE WAS EMPLOYED FOR THE PROCEDURE. THE USER REPORTED THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY, AND THERE WERE NO ADVERSE CONSEQUENCES TO A PT AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO STERNAL SAW I | STERNAL SAW | GFA | TERUMO CARDIOVASCULAR SYSTEMS CORP | 6090 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |