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