FDA Adverse Event Malfunction Summary report: N

TERUMO STERNAL SAW II

MDR report key: 2623908 · Received May 22, 2012

Report

Report Number
1828100-2012-00522
Event Type
Malfunction
Date Received
May 22, 2012
Date of Event
June 4, 2009
Report Date
June 4, 2009
Manufacturer
TERUMO CARDIOVASCULAR SYSTEM CORP
Product Code
GFA
PMA / PMN Number
K935391
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MT, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE SAW WAS RETURNED TO TERUMO FOR INVESTIGATION. IT WAS CONFIRMED THAT THE STERNAL SAW BLADE PROTECTOR WAS BROKEN DUE TO USER MISHANDLING. THE SAW WAS REPAIRED AND RETURNED TO THE CUSTOMER. THIS REPORT IS BEING SUBMITTED TO THE FDA AS A RESULT OF A RETROSPECTIVE REVIEW OF PRODUCT COMPLAINTS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE BLADE BROKE OFF ON THE STERNAL SAW. A BACKUP SAW WAS USED FOR SURGERY. NO PT INJURY WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TERUMO STERNAL SAW II GFA TERUMO CARDIOVASCULAR SYSTEM CORP 6090

Patients

Seq Age Sex Outcome Treatment
1