FDA Adverse Event Injury Summary report: N

GUIDANT VASOVIEW HEMOPRO

MDR report key: 1013887 · Received March 14, 2008

Report

Report Number
2953148-2008-00263
Event Type
Injury
Date Received
March 14, 2008
Date of Event
February 21, 2008
Report Date
February 21, 2008
Manufacturer
GUIDANT CARDIAC SURGERY
Product Code
GEI
PMA / PMN Number
K052274
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AFTER THE PROCEDURE, THE HOSPITAL DISCARDED THE PRODUCT. SINCE THE PRODUCT WAS NOT RETURNED TO CARDIAC SURGERY FOR EVALUATION IT WILL BE DIFFICULT TO CONFIRM THE REPORTED PROBLEM. A LHR REVIEW CANNOT BE PERFORMED, BECAUSE THE LOT NUMBER WAS NOT PROVIDED BY THE HOSPITAL.

Description of Event or Problem · 1

THE HOSPITAL REPORTED THAT DURING AN ENDOSCOPIC VEIN HARVESTING PROCEDURE, WHILE USING A VH-3000, THE PT EXPERIENCED A SUDDEN HEMODYNAMIC COLLAPSE. THE SURGEON SUSPECTED A CO2 AIR EMBOLISM. THE PT WAS IMMEDIATELY PLACED ON CARDIOPULMONARY BYPASS. THE SURGEON WENT ON-PUMP TO STABILIZE THE PT AND COMPLETE THE CASE. THE HOSPITAL WAS ABLE TO CLOSE THE PATIENT'S CHEST AND AFTER THE CHEST WAS CLOSED, THE PT WAS EXTUBATED WITHOUT ANY GROSS NEUROLOGICAL ISSUES. A MEDICAL REVIEW OF THIS INCIDENT WAS COMPLETED AND INDICATED NO MALFUNCTION OF THE DEVICE WAS IDENTIFIED WHICH COULD HAVE CONTRIBUTED TO THIS PT OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GUIDANT VASOVIEW HEMOPRO GEI GUIDANT CARDIAC SURGERY VH-3000 UNK

Patients

Seq Age Sex Outcome Treatment
1 NA