FDA Adverse Event
Malfunction
Summary report: N
TERUMO STERNAL SAW II
MDR report key: 3896773
·
Received May 19, 2014
Report
- Report Number
- 1828100-2014-00373
- Event Type
- Malfunction
- Date Received
- May 19, 2014
- Date of Event
- April 25, 2014
- Report Date
- April 25, 2014
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- GFA
- PMA / PMN Number
- K935391
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- NOT APPLICABLE
Narratives
Additional Manufacturer Narrative · 1
EVAL IS IN PROGRESS, BUT NOT YET CONCLUDED. THIS COMPLAINT IS RELATED TO MDR #1828100-2014-00449.
Description of Event or Problem · 1
IT WAS REPORTED THAT DURING SET-UP OF THE DEVICE FOR A CARDIOPULMONARY BYPASS PROCEDURE, THE GUARD WAS BENT ON THE STERNAL SAW. AS A RESULT, AN ALTERNATE DEVICE WAS EMPLOYED. THE SURGICAL PROCEDURE WAS COMPLETED SUCCESSFULLY. 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 |
|---|---|---|---|---|---|---|---|
| 296617 | TERUMO STERNAL SAW II | STERNAL SAW II | GFA | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 5590 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |