FDA Adverse Event Death Summary report: N

THROMCAT

MDR report key: 1545906 · Received November 24, 2009

Report

Report Number
1721279-2009-00055
Event Type
Death
Date Received
November 24, 2009
Date of Event
November 4, 2009
Report Date
November 4, 2009
Manufacturer
SPECTRANETICS CORP.
Product Code
DXE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THIS IS NOTIFICATION OF AN ADVERSE EVENT WHICH OCCURRED IN AFOREIGN COUNTRY. INDICATION FOR THE PROCEDURE: TOTAL OCCLUSION OF THE LAD. PROCEDURE: THE PT, OF UNK SEX AND AGE PRESENTED WITH AN ACUTE MI, CARDIOGEN SHOCK AND WAS VERY UNSTABLE AT THE TIME OF THE PROCEDURE TO OPEN A TOTAL OCCLUSION IN THE LAD. A SPNC THROMBECTOMY DEVICE WAS USED IN ORDER TO SUCCESSFULLY REDUCE A LARGE THROMBUS BURDEN. AFTER STENTING WITH DRIVER 2.5 / 18 THE PT BECAME MORE AND MORE UNSTABLE. EXTERNAL CHEST COMPRESSION WAS PERFORMED BUT WAS NOT SUCCESSFUL. THE EVENT WAS NOT RELATED TO ANY ISSUE OR MALFUNCTION OF THE SPNC DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 THROMCAT EMBOLECTOMY / THROMBECTOMY CATHETER DXE SPECTRANETICS CORP. 63000-02 82260

Patients

Seq Age Sex Outcome Treatment
1 UNK Death