FDA Adverse Event Injury Summary report: N

6000089-1999-00115

MDR report key: 257242 · Received December 29, 1999

Report

Report Number
6000089-1999-00115
Event Type
Injury
Date Received
December 29, 1999
Report Date
December 8, 1999
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PTCA PROCEDURE, RESISTANCE WAS ENCOUNTERED WHILE ATTEMPTING TO ADVANCE THE CATHETER TO THE LESION. WHILE ATTEMPTING TO REPOSITION THE CATHETER, THE SHAFT BROKE AND A SEGMENT REMAINED IN THE ARTERY AND GUIDE CATHETER. ATTEMPTS AT RETRIEVAL WERE UNSUCCESSFUL AND PT WAS SENT TO SURGERY. PT STATUS IS LISTED AS "OKAY".

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention