FDA Adverse Event Malfunction Summary report: N

TERUMO STERNAL SAW II

MDR report key: 4307561 · Received November 25, 2014

Report

Report Number
1828100-2014-01065
Event Type
Malfunction
Date Received
November 25, 2014
Date of Event
October 6, 2014
Report Date
November 14, 2014
Manufacturer
TERUMO CARDIOVASCULAR SYSTEMS CORP.
Product Code
GFA
PMA / PMN Number
K935391
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

THIS COMPLAINT IS RELATED TO MDR 1828100-2014-000903 AND 1828100-2014-01023. THE REPORTED COMPLAINT WAS CONFIRMED BY THE SERVICE REPAIR TECHNICIAN (SRT). THE SRT OBSERVED THE INNER CORE CABLE TO EXTEND AND OUTER CASING TO BE BIND, RESULTING IN THE CABLE BEING NOISY. THE SRT REPLACED BOTH THE INNER CORE AND OUTER CASING. HE PERFORMED A RELEASE TEST ON THE STERNAL SAW AND FLEXIBLE DRIVE CABLE. THE UNIT OPERATED TO MANUFACTURER SPECIFICATIONS AND WAS RETURNED TO CLINICAL USE. IF ADDITIONAL INFORMATION BECOMES AVAILABLE ON THIS COMPLAINT THAT WOULD ALTER THE FACTS AND/OR CONCLUSION, A SUPPLEMENTAL REPORT WILL BE FILED ACCORDINGLY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING THE USE OF THE DEVICE FOR A NON-CLINICAL ACTIVITY, THE STERNAL SAW WAS NOISY. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
766474 TERUMO STERNAL SAW II STERNAL SAW II GFA TERUMO CARDIOVASCULAR SYSTEMS CORP. 15665

Patients

Seq Age Sex Outcome Treatment
1