FDA Adverse Event Malfunction Summary report: N

VASOVIEW HEMOPRO 2

MDR report key: 21361069 · Received February 11, 2025

Report

Report Number
2242352-2025-0000138
Event Type
Malfunction
Date Received
February 11, 2025
Date of Event
January 10, 2025
Report Date
May 9, 2025
Manufacturer
MAQUET CARDIOVASCULAR LLC
Product Code
GEI
UDI-DI
00607567700406
PMA / PMN Number
K101274
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

TRACKWISE - (B)(4). UPDATED SECTION - B4, D9, G3, G6, H2, H3, H6, H11. THE LOT #3000436459 HISTORY RECORD REVIEW WAS COMPLETED. THERE WERE NO NCMRS, REWORK, OR DEVIATIONS DOCUMENTED FOR THE REPORTED LOT NUMBER. BASED ON THE DHR/LHR REVIEW RESULTS, IT WAS DETERMINED THAT THERE IS NO RELATION BETWEEN THE BATCH MANUFACTURING PROCESS AND THE REPORTED FAILURE.

Additional Manufacturer Narrative · 0

TW # (B)(4). THE DEVICE HAS NOT YET BEEN RETURNED TO MAQUET CARDIAC SURGERY FOR EVALUATION. WE ARE FOLLOWING UP WITH THE CUSTOMER FOR THE RETURN OF THE DEVICE. A SUPPLEMENTAL REPORT WILL BE SUBMITTED IF THE DEVICE IS RECEIVED.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

THE HOSPITAL REPORTED THAT DURING AN ENDOSCOPIC VEIN HARVESTING PROCEDURE USING VASOVIEW HEMOPRO 2 (VH-4000), WHEN LIGATING BRANCHES DURING A SVG HARVEST THE HEMOPRO 2 STOPPED WORKING AFTER 2 BEEPS OF THE GENERATOR. THE HARVESTER PAUSED FOR 30 SECONDS AND ATTEMPTED BRANCH LIGATION AGAIN AND THE ISSUE PERSISTED. POWER SUPPLY SETTING AT 3. THERE WAS NO DELAY. THERE WAS NO PATIENT HARM. DEVICE IS REMOVED FROM SERVICE AND A NEW DEVICE WAS OPENED AND WORKED WITHOUT ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
846841 VASOVIEW HEMOPRO 2 ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES GEI MAQUET CARDIOVASCULAR LLC VH-4000 3000436459 00607567700406

Patients

Seq Age Sex Outcome Treatment
1 79 YR Male NO.