Catalog Number C-HSK-3038 |
Device Problem
Component Falling (1105)
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Patient Problem
No Information (3190)
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Event Date 09/05/2016 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).A lot history record review was completed for the reported product lot number.There was no nonconformance recorded in the lot history.The device has been returned to the factory and is being evaluated.A supplemental report will be submitted when the evaluation is completed.
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Event Description
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The hospital reported that during a coronary artery bypass procedure, hs iii proximal seal system 3.8mm dropped from delivery device.A replacement device was used to complete the procedure.The hospital did not report any patient effects.
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Manufacturer Narrative
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(b)(4).The device was returned to the factory for evaluation.Signs of clinical use and evidence of blood were observed.The delivery device was returned outside the loading device.Blood was visible on the loading device.The seal and tension spring assembly were not returned.The device as returned was unable to be evaluated for position of seal and tension spring assembly.The slide lock was engaged.The plunger was not depressed on the delivery device.The following measurements were taken; the inner delivery tube diameter was measured at.197 in.The outer diameter was measured at.221 in.The length of the delivery tube was measured at 2.50 in.The values recorded were within the tolerance specifications.Based upon the received condition of the device, the reported complaint for failure to load was not confirmed.
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Event Description
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The hospital reported that during a coronary artery bypass procedure, hs iii proximal seal system 3.8mm dropped from delivery device.A replacement device was used to complete the procedure.The hospital did not report any patient effects.
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Search Alerts/Recalls
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