BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    MAQUET

    MDR report key: 2468887 · Received February 21, 2012

    Report

    Report Number
    MW5024377
    Event Type
    Malfunction
    Date Received
    February 21, 2012
    Date of Event
    November 24, 2011
    Report Date
    February 21, 2012
    Manufacturer
    MAQUET CARDIOVASCULAR LLC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PHYSICIAN WAS PERFORMING AN URGENT MYOCARDIAL REVASCULARIZATION X5 WITH LIMA, LEFT SCV PA, RIGHT RADIAL ARTERIAL LINE, LEFT ENDOSCOPIC VEIN HARVEST - LEFT GREATER SAPHENOUS VEIN. THE VASOVIEW HEMOPRO2 CAUTERY WOULD NOT WORK.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MAQUET VASOVIEW HEMOPRO2 GEI MAQUET CARDIOVASCULAR LLC VH-4000 25043813

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR