BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    T-LINK DATA MANAGEMENT SYSTEM

    MDR report key: 2240844 · Received August 16, 2011

    Report

    Report Number
    1828100-2011-02461
    Event Type
    Malfunction
    Date Received
    August 16, 2011
    Date of Event
    July 20, 2011
    Report Date
    August 16, 2011
    Manufacturer
    TERUMO CARDIOVASCULAR SYSTEM CORP.
    Product Code
    DWA
    PMA / PMN Number
    K950739
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE NOT BEING RETURNED.

    Description of Event or Problem · 1

    AFTER USE OF THE DEVICE FOR CARDIOPULMONARY BYPASS PROCEDURE, THE USER REPORTED THAT ALL OF THE DEVICE LIGHTS TURNED YELLOW. THE USER CLOSED AND REOPENED THE CASE AND THE DEVICE BUTTONS WERE RED. THE COMPUTER WAS REBOOTED AND THE GREEN LIGHTS APPEARED. THE DATA WAS COLLECTED PRIOR TO THIS ISSUE AND THERE WERE NO ADVERSE CONSEQUENCES TO THE PT AS A RESULT OF THIS EVENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 T-LINK DATA MANAGEMENT SYSTEM PERFUSION LIBRARY SOFTWARE DWA TERUMO CARDIOVASCULAR SYSTEM CORP. 814851

    Patients

    Seq Age Sex Outcome Treatment
    1