FDA Adverse Event Other Summary report: N

PATHFINDER 16, 2-6-2, 135CM

MDR report key: 205030 · Received January 5, 1999

Report

Report Number
2951009-1998-00002
Event Type
Other
Date Received
January 5, 1999
Date of Event
December 2, 1998
Report Date
December 28, 1998
Manufacturer
CARDIMA, INC.
Product Code
DRF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

CHEST X-RAY OF PT SHOWED THAT THE TIP OF A PATHFINDER WAS LODGED IN THE SOFT TISSUE IN THE SUBCLAVIAN VEIN ACCESSORY PATHWAY. PHYSICIAN STATES THAT IT "APPARENTLY WAS SHEARED OFF DURING REMOVAL BY EITHER THE GUIDE OR INTRODUCER SHEATH."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PATHFINDER 16, 2-6-2, 135CM PATHFINDER DRF CARDIMA, INC. 01-161002 NI

Patients

Seq Age Sex Outcome Treatment
1 NO INFO Other