MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2010-02-25 for TERUMO STERNAL SAW II 5590 manufactured by Terumo Cardiovascular Systems Corp..
[1283972]
During use of the device for a cardiopulmonary bypass procedure, the user reported the saw did not function as expected. The saw motor was functioning; however, the saw blade did not move. An alternate device was employed to conclude the procedure. The user reported the surgical procedure was completed successfully, and there were no adverse consequences to the patient as a result of this event.
Patient Sequence No: 1, Text Type: D, B5
[8441221]
Eval in progress, but not concluded.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1828100-2010-00094 |
| MDR Report Key | 1618726 |
| Report Source | 05,06 |
| Date Received | 2010-02-25 |
| Date of Report | 2010-02-25 |
| Date of Event | 2010-01-12 |
| Date Mfgr Received | 2010-01-29 |
| Date Added to Maude | 2010-04-08 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | STEVEN ARICK |
| Manufacturer Street | 6200 JACKSON RD. |
| Manufacturer City | ANN ARBOR MI 48103 |
| Manufacturer Country | US |
| Manufacturer Postal | 48103 |
| Manufacturer Phone | 7347416238 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TERUMO STERNAL SAW II |
| Generic Name | STERNUM SAW |
| Product Code | DWH |
| Date Received | 2010-02-25 |
| Returned To Mfg | 2010-02-03 |
| Model Number | 5590 |
| Catalog Number | 5590 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Age | DA |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TERUMO CARDIOVASCULAR SYSTEMS CORP. |
| Manufacturer Address | ANN ARBOR MI 48103 US 48103 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2010-02-25 |