FDA Adverse Event
Malfunction
Summary report: N
TERUMO CDI 540 CALIBRATOR
MDR report key: 2182625
·
Received July 5, 2011
Report
- Report Number
- 1828100-2011-01907
- Event Type
- Malfunction
- Date Received
- July 5, 2011
- Date of Event
- June 10, 2011
- Report Date
- July 5, 2011
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEM CORP
- Product Code
- DRY
- PMA / PMN Number
- K972962
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NE, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Additional Manufacturer Narrative · 1
EVALUATION IN PROGRESS, BUT NOT YET CONCLUDED.
Description of Event or Problem · 1
THE USER REPORTED THAT THE DEVICE WOULD NOT CALIBRATE. NO OTHER DETAILS REGARDING THE NATURE OF THE EVENT WERE PROVIDED. THERE WERE NO REPORTED ADVERSE CONSEQUENCES TO A PT AS A RESULT OF THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO CDI 540 CALIBRATOR | CALIBRATOR | DRY | TERUMO CARDIOVASCULAR SYSTEM CORP | 540 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |