inforMED
MalfunctionDWS

TUNNELER RX1 6 AV-1

Received Apr 17, 2013 · Event occurred Mar 13, 2013

Report 1219977-2013-00027 · MDR key 3070553

Device

Model number

26011 & 26012

Catalog number

26011 & 26012

Product problems

  • Break

Patient

Not reported

  • Device Embedded In Tissue or Plaque

Narrative

Description of Event or Problem

TUNNELER INSTRUMENT WAS BROKEN DURING A BYPASS OPERATION. SURGEON HAD TO REMOVE BROKEN PART FROM THE PT'S THIGH.

Additional Manufacturer Narrative

CURRENTLY AWAITING THE RETURN OF THE DEVICE FOR EVAL. A DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED BECAUSE THE PRODUCT LOT NUMBER WAS NOT PROVIDED.