FDA Adverse Event Death Summary report: N

SENSTION PLUS 7.SFR 40CC INTRA AORTIC BALLOON CATHETER

MDR report key: 11384879 · Received February 25, 2021

Report

Report Number
MW5099641
Event Type
Death
Date Received
February 25, 2021
Date of Event
February 5, 2021
Report Date
February 12, 2021
Manufacturer
GETINGE / DATASCOPE CORP.
Product Code
DSP
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

NSTEMI COMPLICATED BY VT ARREST. CORONARY ANGIOGRAM DEMONSTRATED SEVERE MULTIVESSEL DISEASE. IABP PLACED. ON (B)(6) 2021, PATIENT EXPERIENCED LABILE BLOOD PRESSURES AND AT 7 PM REQUIRED INCREASING VASOPRESSORS. ONSET OF AFIB WITH INCREASING ECTOPY (PAC'S, PVC'S. IABP BEGAN TO ALARM WITH MESSAGES: CHECK CATHETER POSITION" AND "AUTO R WAVE DEFLATION." CPR WAS INITIATED. AT END OF CPR, SMALL AMOUNT OF BLOOD NOTED IN HELIUM LINE. PATIENT IN PULSELESS VT DESPITE ON-GOING EFFORTS AND FAMILY CONSULTED. DECISION MADE TO TRANSITION TO COMFORT MEASURES ONLY AND RESUSCITATION DISCONTINUED. UPON REMOVAL OF CATHETER/BALLOON, SMALL HOLE IN BALLOON NOTED. THE PATIENT PRESENTED URGENTLY WITH NSTEMI, ELEVATION IN CARDIAC BIOMARKERS AND CONTINUING SYMPTOMS DESPITE AGGRESSIVE ANTI-ANGINAL THERAPY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
273771 SENSTION PLUS 7.SFR 40CC INTRA AORTIC BALLOON CATHETER SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP GETINGE / DATASCOPE CORP. MAQUET SENSATION P1 5649979

Patients

Seq Age Sex Outcome Treatment
1 81 YR Death