inforMED
MalfunctionDWH

STERNUM BLADE

Received Feb 12, 2013 · Event occurred Jan 16, 2013

Report 0001811755-2013-00221 · MDR key 2956838

Device

Generic name

Blade, Saw, Surgical, Cardiovascular

Catalog number

0298097100

Lot number

12278027

Product problems

  • Break

Patient

Not reported

  • No Known Impact Or Consequence To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED THAT DURING AN AORTIC VALVE REPLACEMENT SURGERY, THE BLADE BROKE. IT WAS ALSO REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT. NO FURTHER INFORMATION HAS BEEN PROVIDED.

Additional Manufacturer Narrative

THE RETURNED BLADE WAS MEASURED WHERE POSSIBLE AND ALL CRITICAL SPECIFICATIONS WERE MET. MANUFACTURING RECORDS WERE REVIEWED, NO ISSUES WERE IDENTIFIED WHICH MAY HAVE CONTRIBUTED TO THIS EVENT. INVESTIGATION RESULTS INDICATE THAT THE BREAK POTENTIALLY OCCURRED DUE TO PRYING OR BENDING OF THE BLADE DURING USE, BUT THIS CANNOT BE CONFIRMED. THE ROOT CAUSE IS UNDETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT DURING AN AORTIC VALVE REPLACEMENT SURGERY, THE BLADE BROKE. IT WAS ALSO REPORTED THAT THERE WERE NO ADVERSE CONSEQUENCES AS A RESULT OF THIS EVENT. NO FURTHER INFORMATION HAS BEEN PROVIDED.

Additional Manufacturer Narrative

THE BLADE SUBJECT TO THIS MDR WAS RETURNED FOR EVALUATION. IT WAS VISUALLY CONFIRMED THAT THE BLADE BROKE AT THE MOUNT. THE INVESTIGATION IS ONGOING.