FDA Adverse Event Injury Summary report: N

LEAD EXTRACTION LIBERATOR BEACON TIP LOCKING STYLET

MDR report key: 19980324 · Received August 14, 2024

Report

Report Number
2522007-2024-00026
Event Type
Injury
Date Received
August 14, 2024
Date of Event
July 11, 2024
Report Date
October 30, 2024
Manufacturer
COOK VANDERGRIFT INC
Product Code
DQX
UDI-DI
10827002265506
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE UDI INFORMATION PER 21CFR 803.52(C)(4) AND 21 CFR 803.50(B) THAT IS REQUIRED IS REASONABLY UNKNOWN DUE TO THE DEVICE ITSELF WAS DISCARDED/NOT RETURNED FOR INVESTIGATION AFTER MANUFACTURER REQUESTED FOR THE RETURN AND THE LOT OF THE DEVICE WAS UNKNOWN, HOWEVER THE DEVICE WAS RETURNED AND THE LOT WAS KNOWN. E3 - OCCUPATION: SUB DIRECTOR. G5 ¿ PMA/510(K): K170298. ONE LIBERATOR THAT WAS IN MULTIPLE PIECES WAS RETURNED ON THIS COMPLAINT. THERE WAS NO LATCH PIN OR ACTIVATION PIECE RETURNED ON THIS COMPLAINT, BUT THERE WAS A LEAD THAT WAS RETURNED ON THIS COMPLAINT AS WELL. THE CUSTOMER COMPLAINT/EVENT THAT WAS ENTERED AND REPORTED WITHIN TRACKWISE: "INNER PART OF THE LIBERATOR INSIDE THE CABLE AND THE PATIENT." THE QUALITY ASSURANCE DEPARTMENT PERFORMED AN INVESTIGATION / EVALUATION ON THE RETURNED PIECES/DEVICE. VISUALLY THE DEVICE APPEARED TO HAVE BEEN RETURNED CLEANED/DECONTAMINATED PRIOR TO RETURNING. THE DEVICE WAS IN A STYLE THAT THE HANDLE WAS WRAPPED UP. VISUALLY THE WIRE WAS BROKEN AFTER THE HANDLE SOLDER. THIS MAY HAVE BEEN FROM EXCESSIVE PULLING AND APPEARS TO HAVE TENSILE FAILURE THAT MAY HAVE CAUSED THE BREAK. THE DEVICE HISTORY RECORD (DHR) WAS REVIEWED. THERE WERE NO SIGNS THAT THE DEVICE WAS NONCONFORMING OR THAT THE DEVICE WAS NOT MANUFACTURED TO CURRENT SPECIFICATIONS. THIS COMPLAINT MODE WILL BE TRACKED, TRENDED AND MONITORED IN CVI COMPLAINT HANDLING AND POST MARKET SURVEILLANCE PROCEDURES. A RISK ASSESSMENT WILL BE PERFORMED WITHIN THE COMPLAINT SUMMARY TAB OF TRACKWISE. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Additional Manufacturer Narrative · 0

THE UDI INFORMATION PER 21CFR 803.52(C)(4) AND 21 CFR 803.50(B) THAT IS REQUIRED IS REASONABLY UNKNOWN DUE TO THE DEVICE ITSELF WAS DISCARDED/NOT RETURNED FOR INVESTIGATION AFTER MANUFACTURER REQUESTED FOR THE RETURN AND THE LOT OF THE DEVICE WAS UNKNOWN, HOWEVER THE DEVICE WAS RETURNED AND LOT WAS KNOWN. D4 - MODEL: G26550. E3 - OCCUPATION: SUB DIRECTOR. G5 ¿ PMA/510(K): K170298. THE EVENT IS CURRENTLY UNDER INVESTIGATION. THIS REPORT INCLUDES INFORMATION KNOWN AT THIS TIME. A FOLLOW UP REPORT WILL BE SUBMITTED SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE OR UPON COMPLETION OF INVESTIGATION. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Additional Manufacturer Narrative · 0

BLANK FIELDS ON THIS FORM INDICATED THE INFORMATION IS UNKNOWN, UNCHANGED, OR UNAVAILABLE. THE EVENT IS CURRENTLY UNDER INVESTIGATION. THIS REPORT INCLUDES INFORMATION KNOWN AT THIS TIME. A FOLLOW UP REPORT WILL BE SUBMITTED SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE OR UPON COMPLETION OF INVESTIGATION. G5 ¿ PMA/510(K): K170298. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Description of Event or Problem · 0

AS INITIALLY REPORTED TO CUSTOMER RELATIONS: A 74-YEAR-OLD MALE PATIENT UNDERWENT A LEAD EXTRACTION/ HEART PROCEDURE IN WHICH THE LEAD EXTRACTION LIBERATOR BEACON TIP LOCKING STYLET, (B)(6), WAS USED. THE ELECTRODE IS DEBRIDED FROM THE PACEMAKER BAG, THE STYLET WIRES ARE INTRODUCED TO RELEASE FIXATION AND VERIFY PATENCY, THE CONNECTOR IS CUT AND THE LIBERATOR GUIDE IS INTRODUCED, MAKING SURE THAT IT REACHES THE DISTAL TIP OF THE ELECTRODE BY MEANS OF FLUOROSCOPY. UPON REACHING THE MOST DISTAL PART OF THE ELECTRODE, THE SPIKES ARE RELEASED FROM THE GUIDE. DUE TO THE TRACTION INFERRED AT THE MOMENT OF RELEASING, IT IS SEPARATED FROM THE EXTENSOR OF THE SAME, BRINGING THE EXTERNAL LUMEN OF THE GUIDE, LEAVING THE INNER PART OF THE LIBERATOR INSIDE THE CABLE AND THE PATIENT.

Description of Event or Problem · 0

AS INITIALLY REPORTED TO CUSTOMER RELATIONS: A 74-YEAR-OLD MALE PATIENT UNDERWENT A LEAD EXTRACTION/HEART PROCEDURE IN WHICH THE LEAD EXTRACTION LIBERATOR BEACON TIP LOCKING STYLET, G26550, WAS USED. THE ELECTRODE IS DEBRIDED FROM THE PACEMAKER BAG, THE STYLET WIRES ARE INTRODUCED TO RELEASE FIXATION AND VERIFY PATENCY, THE CONNECTOR IS CUT AND THE LIBERATOR GUIDE IS INTRODUCED, MAKING SURE THAT IT REACHES THE DISTAL TIP OF THE ELECTRODE BY MEANS OF FLUOROSCOPY. UPON REACHING THE MOST DISTAL PART OF THE ELECTRODE, THE SPIKES ARE RELEASED FROM THE GUIDE. DUE TO THE TRACTION INFERRED AT THE MOMENT OF RELEASING, IT IS SEPARATED FROM THE EXTENSOR OF THE SAME, BRINGING THE EXTERNAL LUMEN OF THE GUIDE, LEAVING THE INNER PART OF THE LIBERATOR INSIDE THE CABLE AND THE PATIENT.

Description of Event or Problem · 0

AS INITIALLY REPORTED TO CUSTOMER RELATIONS: A 74-YEAR-OLD MALE PATIENT UNDERWENT A LEAD EXTRACTION/HEART PROCEDURE IN WHICH THE LEAD EXTRACTION LIBERATOR BEACON TIP LOCKING STYLET, G26550, WAS USED. THE ELECTRODE IS DEBRIDED FROM THE PACEMAKER BAG, THE STYLET WIRES ARE INTRODUCED TO RELEASE FIXATION AND VERIFY PATENCY, THE CONNECTOR IS CUT AND THE LIBERATOR GUIDE IS INTRODUCED, MAKING SURE THAT IT REACHES THE DISTAL TIP OF THE ELECTRODE BY MEANS OF FLUOROSCOPY. UPON REACHING THE MOST DISTAL PART OF THE ELECTRODE, THE SPIKES ARE RELEASED FROM THE GUIDE. DUE TO THE TRACTION INFERRED AT THE MOMENT OF RELEASING, IT IS SEPARATED FROM THE EXTENSOR OF THE SAME, BRINGING THE EXTERNAL LUMEN OF THE GUIDE, LEAVING THE INNER PART OF THE LIBERATOR INSIDE THE CABLE AND THE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
552981 LEAD EXTRACTION LIBERATOR BEACON TIP LOCKING STYLET DQX WIRE, GUIDE, CATHETER DQX COOK VANDERGRIFT INC G26550 N203954 10827002265506

Patients

Seq Age Sex Outcome Treatment
1 74 YR Male Other