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