FDA Adverse Event Other Summary report: N

GETINGE INTRA AORTIC BALLOON

MDR report key: 19212798 · Received April 29, 2024

Report

Report Number
MW5154431
Event Type
Other
Date Received
April 29, 2024
Date of Event
February 13, 2024
Report Date
April 25, 2024
Manufacturer
GETINGE USA SALES, LLC.
Product Code
DSP
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

A 56 YEAR-OLD-MALE UNDERWENT AN INTRA-AORTIC BALLOON PUMP (IABP) DUE TO CARDIOGENIC SHOCK. FOLLOWING THE PLACEMENT OF A GETINGE IABP AN ACUTE, TYPE B DISSECTION WAS IDENTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
131650 GETINGE INTRA AORTIC BALLOON SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP GETINGE USA SALES, LLC. MEGA 8FRX15CM 3000351644

Patients

Seq Age Sex Outcome Treatment
1 56 YR Male Other