MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2013-02-11 for TERUMO CDI 100 MONITOR manufactured by Terumo Cardiovascular System Corp.
[18529111]
It was reported that during set-up of the device for a cardiopulmonary bypass procedure, a battery error code occurred (code unknown at this time). After further investigation by the user facility, the unit was not holding a charge and battery was leaking. As a result, an alternate battery was employed. No other details regarding the nature of this event were provided.
Patient Sequence No: 1, Text Type: D, B5
[18751729]
Evaluation is in progress, but not yet concluded.
Patient Sequence No: 1, Text Type: N, H10
| Report Number | 1828100-2013-00120 |
| MDR Report Key | 2961561 |
| Report Source | 05,06 |
| Date Received | 2013-02-11 |
| Date of Report | 2013-01-16 |
| Date of Event | 2013-01-16 |
| Date Mfgr Received | 2013-01-16 |
| Device Manufacturer Date | 2002-10-01 |
| Date Added to Maude | 2013-04-01 |
| 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 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 0 |
| Event Location | 0 |
| Manufacturer Contact | KIPP DURBIN |
| Manufacturer Street | 6200 JACKSON RD. |
| Manufacturer City | ANN ARBOR MI 48103 |
| Manufacturer Country | US |
| Manufacturer Postal | 48103 |
| Manufacturer Phone | 7346634145 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TERUMO CDI 100 MONITOR |
| Product Code | DTY |
| Date Received | 2013-02-11 |
| Returned To Mfg | 2013-02-06 |
| Model Number | 100 |
| Catalog Number | 100 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | TERUMO CARDIOVASCULAR SYSTEM CORP |
| Manufacturer Address | ANN ARBOR MI 48103 US 48103 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2013-02-11 |