FDA Adverse Event Death Summary report: N

ARROW BERMAN ANGIOGRAPHIC BALLOON CATHETER

MDR report key: 23778922 · Received December 11, 2025

Report

Report Number
MW5180340
Event Type
Death
Date Received
December 11, 2025
Date of Event
October 13, 2025
Report Date
December 4, 2025
Manufacturer
ARROW INTERNATIONAL LLC (SUBSIDIARY OF TELEFLEX INCORPORATED)
Product Code
DYG
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MN, US
Reporter Occupation
OTHER
Health Professional
*

Narratives

Description of Event or Problem · 0

IT WAS REPORTED BY THE (B)(6) REP THAT THE PHYSICIAN PERFORMED AN RHC (RIGHT HEART CATHETERIZATION) VIA THE PATIENT'S RIGHT FEMORAL VEIN. RA, RV (RIGHT VENTRICULAR) AND PA PRESSURES WERE OBTAINED USING A BERMAN ANGIOGRAPHIC BALLOON CATHETER. PHYSICIAN ATTEMPTED USING THE WEDGE ON RIGHT SIDE WHEN PATIENT STARTED COUGHING UP A SMALL AMOUNT OF BLOOD. THE AMOUNT OF HEMOPTYSIS INCREASED AND THE SITUATION ESCALATED. ANESTHESIA AND SURGERY CALLED TO BEDSIDE. CARDIOMEMS PROCEDURE WAS NOT ATTEMPTED DUE TO PATIENT COMPLICATIONS. SENSOR WAS UNOPENED. NO ADDITIONAL IMAGING OR DOCUMENTATION AVAILABLE AT THIS TIME. ONCE IT WAS KNOWN THAT THE CARDIOMEMS PROCEDURE WAS GOING TO BE ABORTED, THE (B)(6) REP WAS ASKED TO LEAVE THE ROOM. PER THE (B)(6) REP, THE CAUSE OF THE HEMOPTYSIS IS UNKNOWN. THE PATIENT EXPIRED. FURTHER INFORMATION IS NOT AVAILABLE DUE TO THE CARDIOMEMS PORTION OF THE PROCEDURE BEING CANCELLED. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2696241 ARROW BERMAN ANGIOGRAPHIC BALLOON CATHETER CATHETER, FLOW DIRECTED DYG ARROW INTERNATIONAL LLC (SUBSIDIARY OF TELEFLEX INCORPORATED)

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death