BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VASOVIEW HEMOPRO

    MDR report key: 3193411 · Received June 21, 2013

    Report

    Report Number
    MW5030656
    Event Type
    Injury
    Date Received
    June 21, 2013
    Date of Event
    June 17, 2013
    Report Date
    June 21, 2013
    Manufacturer
    MAQUET CARDIOVASCULAR, LLC
    Product Code
    GEI
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PROBE ON ENDOSCOPIC VESSEL HARVESTING SYSTEM BEGAN TO EMIT SMOKE. WAS QUICKLY REMOVED FROM THE PT. UNABLE TO TURN OFF BROKE. PROBE DISCARDED AND ANOTHER PROBE USED WITHOUT COMPLICATIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    281828 VASOVIEW HEMOPRO VASOVIEW HEMOPRO ENDOSCOPIC VESSEL HARVESTING SYSTEM GEI MAQUET CARDIOVASCULAR, LLC VH 3000 25077643

    Patients

    Seq Age Sex Outcome Treatment
    1 64 YR Required Intervention