FDA Adverse Event Malfunction Summary report: N

TERUMO STERNAL SAW II

MDR report key: 3030836 · Received March 28, 2013

Report

Report Number
1828100-2013-00315
Event Type
Malfunction
Date Received
March 28, 2013
Date of Event
March 7, 2013
Report Date
March 8, 2013
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS 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

Additional Manufacturer Narrative · 1

EVAL IS IN PROGRESS, BUT NOT YET CONCLUDED.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING PRE-CARDIOPULMONARY BYPASS OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE, THE STERNAL SAW WAS MAKING NOISE AND WAS NOT WORKING WITH THE NORMAL POWER. THE TIP OF THE MOTOR CABLE WAS BROKEN OFF WHEN REMOVED FROM THE SAW. 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
128557 TERUMO STERNAL SAW II GFA TERUMO CARDIOVASCULAR SYSTEMS CORP. 5590

Patients

Seq Age Sex Outcome Treatment
1