FDA Adverse Event Summary report: N

ICY

MDR report key: 2161225 · Received July 6, 2011

Report

Report Number
2161225
Date Received
July 6, 2011
Date of Event
July 4, 2011
Report Date
July 6, 2011
Manufacturer
ZOLL MEDICAL CORPORATION
Product Code
NCX
Report Source
User Facility report
Reporter Location
CA, US

Narratives

Description of Event or Problem · 1

PT HAD INTRAVASCULAR COOLING CATHETER IN RIGHT GROIN. DVT (DEEP VEIN THROMBOSIS) STUDY WAS PERFORMED AND WAS UNABLE TO VISUALIZE RIGHT GROIN 2ND TO CATHETER. CATHETER D/C (DISCONTINUED) THE NEXT DAY. ANOTHER DVT STUDY WAS PERFORMED A WEEK LATER INVOLVING THE RIGHT COMMON FEMORAL CLOT. DR WRITES DVT D/T (DUE TO) COOLING CATHETER. REPORTING AS AN EVENT WHICH MAY OR MAY NOT BE RELATED TO THIS NEW CATHETER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ICY INTRAVASCULAR TEMPERATURE MANAGEMENT CATHETER NCX ZOLL MEDICAL CORPORATION IC-3893 *

Patients

Seq Age Sex Outcome Treatment
1 84 YR NONE KNOWN