FDA Adverse Event Injury Summary report: N

INTRA-AORTIC BALLOON CATHETER

MDR report key: 108576 · Received July 25, 1997

Report

Report Number
2248146-1997-00748
Event Type
Injury
Date Received
July 25, 1997
Report Date
June 30, 1997
Manufacturer
DATASCOPE CORP.
Product Code
DSP
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE QUALITY ASSURANCE DEPARTMENT OF DATASCOPE CORPORATION'S CARDIAC ASSIST DIVISION BECAME AWARE OF TWO CASES OF ENTRAPPED IAB'S INVOLVING TWO 48 YEAR-OLD MEN OCCURRING FROM 1971 THROUGH 1991. THE INFO WAS REPORTED IN THE 1993 ISSUE OF "THE ANINALS OF THORACIC SURGERY"; VOLUME 56: PAGES 368-70. THE IABS IN QUESTION WERE NOT RETURNED TO DATASCOPE. THIS IS LITERATURE REFERENCE ONLY. NO FURTHER INFO IS AVAILABLE. (EVENT COMPLICATIONS: THE IAB WAS ENTRAPPED/SURGICALLY REMOVED.) (PT'S CURRENT STATUS: UNKNOWN.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INTRA-AORTIC BALLOON CATHETER INTRA-AORTIC BALLOON CATHETER DSP DATASCOPE CORP. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 48 YR Required Intervention