FDA Adverse Event
Death
Summary report: N
DIAGNOSTIC ACHIVES
MDR report key: 22584
·
Received March 17, 1995
Report
- Report Number
- 66762-1995-09001
- Event Type
- Death
- Date Received
- March 17, 1995
- Date of Event
- January 18, 1993
- Report Date
- January 27, 1995
- Manufacturer
- DIAGNOSTIC ARCHIVES
- Product Code
- LXJ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- IN, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ACCORDING TO THE COMPLAINANT, SURGEON REPORTEDLY FAILED TO COMPLETE A QUADRUPLE AORTACORONARY BYPASS ON PT DUE TO AN ALLEGED BLANK SPOT ON A DISK RECORDED IN THE CATHETERIZATION LAB. THEHE ALLEGED BLANK SPOT WAS REPORTEDLY INTERPRETED AS THE CONCLUSION OF THE FILM SUPPOSEDLY LEADING TO AN ANOMALOUS CIRCUMFLEX ARTERY NOT BEING BYPASSED. IT IS THE ALLEGATION OF THE COMPLAINTANT THAT THIS RESULTED IN A MASSIVE MYOCARDIAL INFARCTION AND THE PT'S DEATH.THE INCIDENT WAS NOT PREVIOUSLY REPORTED AND IS BEING FORWARDED AT THISIME BY THE ATTORNEY FOR THE ADMINISTRIX OF THE ESTATE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | DIAGNOSTIC ACHIVES | OPTICAL DISK | LXJ | DIAGNOSTIC ARCHIVES | 202-124-1 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * | Death | OPTICAL DISK SERIES #92085 |