FDA Adverse Event
Malfunction
Summary report: N
ACS MULTILINK HP 35X15
MDR report key: 209257
·
Received February 4, 1999
Report
- Report Number
- MW4002373
- Event Type
- Malfunction
- Date Received
- February 4, 1999
- Date of Event
- August 12, 1998
- Report Date
- December 17, 1998
- Manufacturer
- GUIDANT CORP.
- Product Code
- MAF
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- INVALID DATA
Narratives
Description of Event or Problem · 1
PT ARRIVED IN CATHLAB FOR A PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY OF THE LEFT ANTERIOR DESCENDING CORONARY ARTERY. DURING THE PROCESS, DOC ADVANCED THE CORONARY STENT DELIVERY SYSTEM BUT THE GUIDE CATHETER BACKED OUT OF THE OSTIUM AND "THE WIRE/STENT PLACE MEET SYSTEM WAS LOST." DOC REMOVED THE GUIDE CATHETERS STENT DELIVERY SYSTEM, AND PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY GUIDEWIRE. UPON REMOVAL, THE STENT WAS NOT ON THE DELIVERY SYSTEM. PERFORMED EXAM OF SHEATH, GUIDE CATHETER, AND ALL ACCESSORIES BUT STENT COULD NOT BE LOCATED THROUGH USE OF FLUOROSCOPY OR CINE MODES. DOC USED A NEW GUIDE AND STENT DELIVERY SYSTEM TO RECANNULATE THE CORONARY ARTERY DISEASE AND TWO MULTILINK CORONARY STENT WERE SUCCESSFULLY DEPLOYED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ACS MULTILINK HP 35X15 Implant | * | MAF | GUIDANT CORP. | * | 8063052 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 68 YR |