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MalfunctionDWS

STARFISH 2 HEART POSITIONER

Received Dec 14, 2004

Report 2135394-2004-00007 · MDR key 792695

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Product code (DWS)
Manufacturer (Medtronic Perfusion Systems)
Model (29800)

Device

Generic name

Heart Positioner

Model number

29800

Catalog number

29800

Lot number

UNK

Product problems

  • Detachment Of Device Component

Patient

UNKNOWN

  • Surgery, prolonged
  • No Consequences Or Impact To Patient
  • Foreign body, removal of

Narrative

Description of Event or Problem

INFORMATION RECEIVED INDICATES THAT DURING THE CASE, A COMPONENT DETACHED FROM THE PRODUCT AND HAD TO BE RETRIEVED FROM THE PT'S CHEST CAVITY. THE CASE WAS COMPLETED WITH NO CONSEQUENCE REPORTED FOR THE PT.

Additional Manufacturer Narrative

EVALUATION METHOD CODE: DEVICE NOT RETURNED TO MANUFACTURING FOR ANALYSIS AND PRODUCT SPECIFIC INFORMATION (MANUFACTURING LOT NUMBER) WAS NOT PROVIDED. ANALYSIS: THE PRODUCT HAS NOT BEEN RETURNED TO MANUFACTURING FOR ANALYSIS. WITHOUT PRODUCT RETURN REVIEW IS LIMITED AND NO RESULTS CAN BE PROVIDED. PRODUCT SPECIFIC INFO (MANUFACTURING LOT NUMBER) HAS NOT BEEN PROVIDED BY THE USER. REVIEW OF EVENT INFO SHOWS THE COMPONENT DETACHED FROM THE PRODUCT WHEN THE DEVICE WAS REMOVED FROM THE RETRACTOR DURING THE CASE. THE COMPONENT WAS INTRA-OPERATIVELY RETRIEVED AND THE CASE COMPLETED WITH NO REPORT OF PATIENT COMPLICATION. THE DATE OF THE REPORTED EVENT IS UNKNOWN. CONCLUSION: NO PATIENT EVENT AND NO PRODUCT RETURN; NO CONCLUSION CAN BE DRAWN FOR THE REPORTED PRODUCT PROBLEM.