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 |