FDA Adverse Event Death Summary report: N

ZIMMER-HALL STERNUM SAW

MDR report key: 216810 · Received March 30, 1999

Report

Report Number
216810
Event Type
Death
Date Received
March 30, 1999
Date of Event
December 31, 1998
Report Date
March 29, 1999
Manufacturer
ZIMMER HALL SURGICAL
Product Code
KFK
Adverse Event
Yes
Report Source
User Facility report
Reporter Location
KY, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

RIGHT VENTRICULAR LACERATION OCCURRED DURING REPEAT STERNOTOMY IN A PT WITH A HISTORY OF "MUSTARD" PROCEDURE FOR TRANSPOSITION OF THE GREAT ARTERIES AND HODGKIN'S LYMPHOMA. SHE HAD ACUTE CARDIAC FAILURE REQUIRING OPEN CHEST MASSAGE, FAILURE TO WEAN FROM CARDIOPULMONARY BYPASS AND CONVERSION TO EXTRACORPOREAL MEMBRANE OXYGENATION. PT EXPIRED 1/27/99. (A "RE-DO" STERNAL SAW WAS AVAILABE, BUT NOT USED.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ZIMMER-HALL STERNUM SAW * KFK ZIMMER HALL SURGICAL 5059-05 *

Patients

Seq Age Sex Outcome Treatment
1 19 YR Death THE HOSP USES THREE STERNAL SAWS, HOWEVER THE| INVOLVED SAW WAS NOT RECORDED.