FDA Adverse Event Other Summary report: N

VECTRA VASCULAR ACCESS GRAFT

MDR report key: 399688 · Received June 13, 2002

Report

Report Number
2916596-2002-00021
Event Type
Other
Date Received
June 13, 2002
Date of Event
February 17, 2002
Report Date
June 12, 2002
Manufacturer
THORATEC CORP.
Product Code
DSY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

A VECTRA GRAFT WAS IMPLANTED IN A FOREARM LOOP CONFIGURATION FOR AV ACCESS IN A PATIENT. THREE WEEKS LATER IT WAS DISCOVERED THAT PART OF THE GRAFT (AT THE LOOPED APEX IN THE WRIST) HAD ERODED THROUGH THE SKIN. IN 2002, A SKIN FLAP PROCEDURE WAS PERFORMED TO COVER A PART OF THE GRAFT THAT HAD ERODED THROUGH THE SKIN. SIX DAYS LATER, ANOTHER SKIN FLAP PROCEDURE WAS PERFORMED. NO GRAFT REMOVAL WAS NECESSARY, THE GRAFT REMAINS IMPLANTED AND IS FUNCTIONING WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VECTRA VASCULAR ACCESS GRAFT VASCULAR ACCESS GRAFT DSY THORATEC CORP. 10002-6040-001 8506-3

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention