FDA Adverse Event Death Summary report: N

SPECTRANETICS GLIDELIGHT LASER SHEATH

MDR report key: 3343338 · Received September 11, 2013

Report

Report Number
1721279-2013-00147
Event Type
Death
Date Received
September 11, 2013
Date of Event
August 15, 2013
Report Date
September 4, 2013
Manufacturer
SPECTRANETICS CORPORATION
Product Code
MFA
PMA / PMN Number
P960042
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

THIS WAS A LEAD EXTRACTION CASE TO REMOVE 3 RV LEADS FOR CIED POCKET INFECTION. THE FIRST TWO LEADS (RV PACING LEADS, MODELS UNKNOWN) WERE REMOVED SUCCESSFULLY UTILIZING A 14 FR. GLIDELIGHT. THE 14 FR WAS UTILIZED ON THE 3RD LEAD (GUIDANT 4474 RV ICD), THERE WAS RESISTANCE NEAR THE PROXIMAL COIL, SO HE UPSIZED TO A 16 FR. GLIDELIGHT. HE SLOWLY CONTINUED LASING TO THE DISTAL COIL NEAR THE TRICUSPID VALVE WHEN THE BLOOD PRESSURE DROPPED. A PERICARDIAL EFFUSION WAS SEEN ON TEE, A THORACOTOMY WAS PERFORMED, BUT THE OPERATION WAS UNSUCCESSFUL AND THE PATIENT EXPIRED. THERE WAS AN INJURY AT THE INNOMINATE-SVC JCT / MID SVC / SVC-ATRIAL JUNCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
456678 SPECTRANETICS GLIDELIGHT LASER SHEATH 16 FR. GLIDELIGHT MFA SPECTRANETICS CORPORATION 500-303 FGC13E01E

Patients

Seq Age Sex Outcome Treatment
1 78 YR Death GUIDANT 4474 RV ICD LEAD| RV PACING LEADS (MODELS UNKNOWN) X 2| SPECTRANETICS LEAD LOCKING DEVICE (LLD #2) X 3| SPECTRANETICS 14 FR. GLIDELIGHT