FDA Adverse Event Malfunction Summary report: N

FAST-CATH HEMO. INT., 8.5F, SWARTZ SL1, TRANS.

MDR report key: 1012482 · Received March 12, 2008

Report

Report Number
2182269-2008-00085
Event Type
Malfunction
Date Received
March 12, 2008
Date of Event
January 21, 2008
Report Date
March 12, 2008
Manufacturer
ST. JUDE MEDICAL
Product Code
DYB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ST. JUDE MEDICAL IS AWAITING DEVICE RETURN. ONCE THE ANALYSIS HAS BEEN COMPLETED, A FOLLOW-UP MEDWATCH REPORT WILL BE SUBMITTED.

Description of Event or Problem · 1

IT WAS REPORTED AN AIR LEAK WAS NOTED AT THE VALVE DURING THE PROCEDURE. AN 8F NAVISTAR WAS USED DURING THE PROCEDURE. THERE WAS NO REPORTED PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FAST-CATH HEMO. INT., 8.5F, SWARTZ SL1, TRANS. FAST-CATH TRANSSEPTAL DYB ST. JUDE MEDICAL NA 2037135

Patients

Seq Age Sex Outcome Treatment
1 UNK