FDA Adverse Event Death Summary report: N

NRG TRANSSEPTAL NEEDLE

MDR report key: 14106898 · Received April 13, 2022

Report

Report Number
9710452-2022-00025
Event Type
Death
Date Received
April 13, 2022
Date of Event
March 8, 2022
Report Date
April 13, 2022
Manufacturer
BAYLIS MEDICAL COMPANY INC.
Product Code
DXF
PMA / PMN Number
K073326
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THERE IS NO OBJECTIVE EVIDENCE THAT SUGGESTS A BAYLIS MEDICAL DEVICE CAUSED OR CONTRIBUTED TO THE REPORTED COMPLICATIONS. HOWEVER, AS A BAYLIS MEDICAL DEVICE WAS REPORTED TO BE AMONG THE DEVICES USED IN THE PROCEDURE, BAYLIS MEDICAL HAS DECIDED TO SUBMIT THIS REPORT.

Description of Event or Problem · 0

DURING A LEFT ATRIAL APPENDAGE CLOSURE (LAAC) PROCEDURE, A NRG TRANSSEPTAL NEEDLE (BAYLIS MEDICAL COMPANY INC.) WAS USED TO COMPLETE THE INITIAL TRANSSEPTAL PUNCTURE (TSP) FOR THE PROCEDURE. THE PHYSICIAN EXPERIENCED DIFFICULTY IMAGING THE SEPTUM. TENTING ON THE SEPTUM WAS EVENTUALLY CONFIRMED AND TSP WAS ATTEMPTED. THE NRG NEEDLE WAS NOT OBSERVED IN THE LEFT ATRIUM. TSP WAS RE-ATTEMPTED AND WAS SUCCESSFUL. WITH NO OBSERVED COMPLICATIONS, THE PHYSICIAN PROCEEDED WITH THE LAAC PROCEDURE USING THE WATCHMAN DEVICES (BOSTON SCIENTIFIC). DURING THE RETRACTION OF THE WATCHMAN SHEATH, THE PATIENT'S BLOOD PRESSURE BEGAN TO DROP. A PERICARDIAL EFFUSION (PE) SWEEP WAS COMPLETED WITH NO PE NOTED. FURTHER INVESTIGATION WITH TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND CHEST X-RAY REVEALED THAT BLOOD WAS POOLING IN THE PLEURAL CAVITY. THE PLEURAL CAVITY WAS DRAINED. THE PATIENT WAS STABILIZED AND WAS MOVED TO THE RECOVERY UNIT. LATER THAT EVENING, THE PATIENT EXPIRED. THERE IS NO OBJECTIVE EVIDENCE THAT SUGGESTS A BAYLIS MEDICAL DEVICE CAUSED OR CONTRIBUTED TO THE REPORTED COMPLICATIONS. HOWEVER, AS A BAYLIS MEDICAL DEVICE WAS REPORTED TO BE AMONG THE DEVICES USED IN THE PROCEDURE, BAYLIS MEDICAL HAS DECIDED TO SUBMIT THIS REPORT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
899942 NRG TRANSSEPTAL NEEDLE CATHETER, SEPTOSTOMY DXF BAYLIS MEDICAL COMPANY INC.

Patients

Seq Age Sex Outcome Treatment
1 Unknown Death