Terumo has not received the device for evaluation; therefore, the investigation has yet to be completed.Terumo plans on submitting a follow-up report when the investigation is complete and when more information becomes available.For this reason, terumo references evaluation conclusion code 11.Component code: 510-sensor.Health effect ¿ impact code: 2645- no patient involvement.Health effect ¿ clinical code: 4582- no clinical signs, symptoms or conditions.Medical device problem code: 1354- leak/splash.Investigation findings: 3233 - results pending completion of investigation.Investigation conclusions: 11 - conclusion not yet available.
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The user facility reported to terumo cardiovascular that prior to cardiopulmonary bypass, during set up, there was a leakage from the shunt sensor.As per the subsidiary, when the shunt sensor was unpacked, the device was wet with sticky liquid and leakage was noted.It is unknown from which part of the device the liquid leaked.No patient involvement.The product was changed out.Procedure was completed successfully.
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This follow-up report is submitted to fda in accord with applicable regulations ¿ and as indicated by terumo cardiovascular systems in the initial report submitted to the fda on july 20, 2023.Upon further investigation of the reported event, the following information is new and/or changed: h6 (identification of evaluation codes 4114, 3331,11, 3221, 4315).Type of investigation #1: 4114 - device not returned type of investigation #2: 3331 - analysis of production records type of investigation #3: 11 - testing of device from same lot/batch retained by manufacturer.Investigation findings: 3221- no findings available.Investigation conclusions: 4315 - cause not established.The affected sample was not returned for evaluation; therefore, a thorough investigation could not be performed.A retention sample from the same lot number was visually inspected and confirmed to have no traces of buffer on the outside of the unit or inside the pouch.The retention sample was then pressurized with air up to 1030 mmhg, submerged in a water bath, and observed for any leaks.No leaks were noted on the retention sample.Without the returned unit, a definitive root cause could not be determined.All available information has been placed on file in quality management for appropriate tracking, trending, and follow-up.
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