FDA Adverse Event Injury Summary report: N

RADISTOP RADIAL COMPRESSION SYSTEM

MDR report key: 3122491 · Received May 14, 2013

Report

Report Number
8030904-2013-00009
Event Type
Injury
Date Received
May 14, 2013
Date of Event
March 14, 2013
Report Date
April 15, 2013
Manufacturer
ST. JUDE MEDICAL SYSTEMS AB
Product Code
GAX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED; HOWEVER, WE DO NOT BELIEVE THE CAUSE OF THE HEMATOMA WAS DUE TO A DEVICE MALFUNCTION OR ANY DEFICIENCY WITH THE INSTRUCTIONS FOR USE REQUIRING CORRECTIVE ACTION. WE WILL CONTINUE TO CLOSELY MONITOR THE PERFORMANCE OF THIS PRODUCT FOR ANY SIGNIFICANT TRENDS.

Description of Event or Problem · 1

A RADISTOP COMPRESSION DEVICE WAS USED ON THE RIGHT RADIAL ARTERY. FOLLOWING USE, A HEMATOMA DEVELOPED REQUIRING SURGICAL EVACUATION. NO ADD'L INFO WAS REC'D.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
212681 RADISTOP RADIAL COMPRESSION SYSTEM TOURNIQUET, NONPNEUMATIC GAX ST. JUDE MEDICAL SYSTEMS AB C11177 UNK

Patients

Seq Age Sex Outcome Treatment
1 78 YR Required Intervention