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. |