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