FDA Adverse Event Malfunction Summary report: N

TERUMO CENTRIFUGAL SYSTEM

MDR report key: 4152457 · Received October 6, 2014

Report

Report Number
1828100-2014-00813
Event Type
Malfunction
Date Received
October 6, 2014
Date of Event
September 12, 2014
Report Date
September 12, 2014
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP.
Product Code
KFM
PMA / PMN Number
K902198
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

EVALUATION IS IN PROGRESS, BUT NOT YET CONCLUDED. THE BIOMED CHARGED THE BATTERIES FOR TWO DAYS, THEN RAN TEST 1:45 BATTERY RUN. THE BATTERIES ONLY LASTED FORTY-FIVE MINUTES. THE BATTERIES WERE CHANGED ON (B)(4) 2014. THE BIOMED REPLACED THE SUSPECT BATTERIES WITH NEW BATTERIES. THE NEW BATTERIES LASTED THE FULL NINETY MINUTES AS REQUIRED BY THE PREVENTATIVE MAINTENANCE (PM) PROCEDURE. THE SUSPECT BATTERIES WERE RETURNED TO THE MANUFACTURER FOR FURTHER EVALUATION.

Description of Event or Problem · 1

THE USER FACILITY'S BIOMEDICAL ENGINEER (BIOMED) REPORTED THAT DURING PREVENTATIVE MAINTENANCE (PM) OF THE DEVICE, THE BATTERIES ARE NOT LASTING AS EXPECTED ON THE CENTRIFUGAL SYSTEM. SINCE THE EVENT OCCURRED DURING PREVENTATIVE MAINTENANCE, THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
622152 TERUMO CENTRIFUGAL SYSTEM SARNS CENTRIFUGAL SYSTEM KFM TERUMO CARDIOVASCULAR SYSTEMS CORP. 9490

Patients

Seq Age Sex Outcome Treatment
1