inforMED
MalfunctionOVN

DEKNATEL TEV TRI BR 2-0 KT-3 30"X9 PFM

Received Nov 4, 2014 · Event occurred Sep 5, 2014

Report 3004365956-2014-00383 · MDR key 4240081

Device

Generic name

Needle

Manufacturer

Teleflex Medical

Catalog number

G79-114C9K

Lot number

02A1401018

Product problems

  • Break

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

COMPLAINT ALLEGES: IT WAS REPORTED THAT DURING AN AORTIC VALVE REPLACEMENT PROCEDURE, WHILE TYING THE STITCHES DOWN, THEY BROKE. THE SURGEON REPLACED THE SUTURES AND FINISHED THE CASE. THERE WAS NO HARM TO THE PATIENT AND NO MEDICAL INTERVENTION WAS REQUIRED. THE PATIENT IS IN STABLE CONDITION.

Additional Manufacturer Narrative

DEVICE HISTORY RECORD (DHR) SHOWS THAT THE PRODUCT WAS ASSEMBLED AND INSPECTED ACCORDING TO MANUFACTURER'S SPECIFICATIONS. DEVICE SAMPLE RECEIVED BY MANUFACTURER, BUT INVESTIGATION IS STILL UNDERWAY AT TIME OF THIS REPORT.