FDA Adverse Event Malfunction Summary report: N

TERUMO STERNAL SAW II

MDR report key: 3912771 · Received May 14, 2014

Report

Report Number
1828100-2014-00336
Event Type
Malfunction
Date Received
May 14, 2014
Date of Event
April 21, 2014
Report Date
April 21, 2014
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP.
Product Code
GFA
PMA / PMN Number
K935391
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THE USER FACILITY'S BIOMEDICAL ENGINEER (BIOMED) CALLED THE MANUFACTURER, AS HE WANTS TO REPAIR THE DEVICE HIMSELF. NO PART IS AVAILABLE OUTSIDE OF SERVICE, SO AN ESTIMATE WAS PROVIDED TO THE CUSTOMER FOR REPAIR BY THE MANUFACTURER.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE USE OF THE DEVICE FOR A NON-CLINICAL ACTIVITY (STERILIZATION), THE BLADE GUARD/ PROTECTOR WAS BENT. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
288065 TERUMO STERNAL SAW II GFA TERUMO CARDIOVASCULAR SYSTEMS CORP. 5590

Patients

Seq Age Sex Outcome Treatment
1