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 |