FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW II
MDR report key: 2961570
·
Received February 11, 2013
Report
- Report Number
- 1828100-2013-00163
- Event Type
- Malfunction
- Date Received
- February 11, 2013
- Date of Event
- January 16, 2013
- Report Date
- January 17, 2013
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEM CORP
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- LA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING USE OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE, THE AIR HOSE TO THE STERNAL SAW WAS BROKEN. IT DID NOT SOUND LIKE AIR WAS GETTING TO THE SAW. IT IS UNKNOWN IF THE SAW WAS CHANGED OUT. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY, AND THERE WERE NO DELAYS, NO BLOOD LOSS OR NO ADVERSE CONSEQUENCES TO THE PATIENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 59327 | TERUMO STERNAL SAW II | GFA | TERUMO CARDIOVASCULAR SYSTEM CORP | 15665 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |