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 |