FDA Adverse Event Malfunction Summary report: N

TERUMO TCM II COOLING AND HEATING SYSTEM

MDR report key: 3012938 · Received March 1, 2013

Report

Report Number
1828100-2013-00196
Event Type
Malfunction
Date Received
March 1, 2013
Date of Event
February 7, 2013
Report Date
February 7, 2013
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP.
Product Code
DWC
PMA / PMN Number
K883603
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING SET-UP OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE, THE COOLER HEATER UNIT WOULD NOT MAKE ICE. THE USER FACILITY'S BIOMEDICAL ENGINEER TOLD FIELD SERVICE REP (FSR) THAT THE COMPRESSOR WAS NOT TURNING. AS A RESULT, AN ALTERNATE DEVICE WAS EMPLOYED. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY, AND THERE WERE NO DELAYS, NO BLOOD LOSS OR NO ADVERSE CONSEQUENCES TO THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
90485 TERUMO TCM II COOLING AND HEATING SYSTEM DWC TERUMO CARDIOVASCULAR SYSTEMS CORP. 4415

Patients

Seq Age Sex Outcome Treatment
1