FDA Adverse Event
Malfunction
Summary report: N
TERUMO TCM II COOLING AND HEATING SYSTEM
MDR report key: 3012962
·
Received March 1, 2013
Report
- Report Number
- 1828100-2013-00198
- 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
- PA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
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 HAD VERY LOW FLOW. THE DEVICE WAS NOT CHANGED OUT, AS THE UNIT STILL FUNCTIONED AND THEY HAVE BEEN USING FOR SURGERY. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY, AND THERE WERE ON DELAYS, NO BLOOD LOSS OR NO ADVERSE CONSEQUENCES TO THE PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 90486 | TERUMO TCM II COOLING AND HEATING SYSTEM | DWC | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 164925 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |