FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW
MDR report key: 2191124
·
Received July 19, 2011
Report
- Report Number
- 1828100-2011-02081
- Event Type
- Malfunction
- Date Received
- July 19, 2011
- Date of Event
- June 23, 2011
- Report Date
- July 19, 2011
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IL, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EVALUATION IN PROGRESS, BUT NOT YET CONCLUDED.
Description of Event or Problem · 1
DURING USE OF THE DEVICE FOR A NON-CLINICAL ACTIVITY, THE USER REPORTED THAT THE CENTER ROUND CONNECTION WHERE THE CABLE IS INSERTED VIBRATES MORE THAN OTHER UNITS ON HAND. SINCE THE EVENT OCCURRED DURING A NON-CLINICAL ACTIVITY, THERE WERE NO PATIENT INVOLVEMENT DURING THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO STERNAL SAW | POWER UNIT (MOTOR) 115V | GFA | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 15670 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |