FDA Adverse Event Death Summary report: N

NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP

MDR report key: 4095223 · Received September 17, 2014

Report

Report Number
3006760724-2014-00408
Event Type
Death
Date Received
September 17, 2014
Date of Event
September 2, 2014
Report Date
April 16, 2015
Manufacturer
SMITH & NEPHEW, INC.
Product Code
OMP
PMA / PMN Number
K083375
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

INVESTIGATION IN PROCESS; RESULTS OF THE INVESTIGATION WILL BE SUBMITTED IN A SUPPLEMENT REPORT. THE CAUSE OF THE PATIENT DEATH WAS NOT DUE TO A RENASYS AT ALL. THE REASON FOR THE DEATH WAS DUE TO THE GENERAL CONDITION OF THE PATIENT.

Description of Event or Problem · 1

RENASYS WAS USED THE PATIENT WHO UNDERWENT AMPUTATION AT THE THIGH DUE TO PAD WITHOUT ANY REVASCULARIZATION. DOCTOR DIDN'T SUTURE THE AMPUTATION STUMP AND THE SYMPTOM OF INFECTION(REDDENING, HEAT SENSATION AND SWOLLEN) WAS OBSERVED. EVEN IF THE DOCTOR CONDUCTED DÉBRIDEMENT, NECROSIS AREA GOT WORSE AND DOCTOR DIDN'T CONDUCT DÉBRIDEMENT AFTER ALL. PATIENT GENERAL CONDITION WAS SERIOUS THAT IT WOULD BE IMPOSSIBLE TO LIVE BY SEPTEMBER. DOCTOR WANTED TO USE RENASYS TO THIS PATIENT FOR THE EXUDATE MANAGEMENT, THOUGH DOCTOR UNDERSTAND THIS PATIENT CONDITION WAS ELIGIBLE TO USE RENASYS. DURING THERAPY THIS PATIENT PASSED AWAY. AS DOCTOR'S REMARKS, DOCTOR BELIEVE THE CAUSE OF PATIENT DEATH WAS NOT DUE TO RENASYS AT ALL. IT IS FOR HER GENERAL CONDITION AND THE DEVICE WAS NO PROBLEM.

Description of Event or Problem · 1

RENASYS WAS USED THE PATIENT WHO UNDERWENT AMPUTATION AT THE THIGH DUE TO PAD WITHOUT ANY REVASCULARIZATION. DOCTOR DIDN'T SUTURE THE AMPUTATION STUMP AND THE SYMPTOM OF INFECTION (REDDENING, HEAT SENSATION AND SWOLLEN) WAS OBSERVED. EVEN IF THE DOCTOR CONDUCTED DEBRIDEMENT, NECROSIS AREA GOT WORSE AND DOCTOR DIDN'T CONDUCT DEBRIDEMENT AFTER ALL. PATIENT GENERAL CONDITION WAS SERIOUS THAT IT WOULD BE IMPOSSIBLE TO LIVE BY SEPTEMBER. DOCTOR WANTED TO USE RENASYS TO THIS PATIENT FOR THE EXUDATE MANAGEMENT, THOUGH DOCTOR UNDERSTAND THIS PATIENT CONDITION WAS ELIGIBLE TO USE RENASYS. DURING THERAPY THIS PATIENT PASSED AWAY. AS DOCTOR'S REMARKS, DOCTOR BELIEVE THE CAUSE OF PATIENT DEATH WAS NOT DUE TO RENASYS AT ALL. IT IS FOR HER GENERAL CONDITION AND THE DEVICE WAS NO PROBLEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
574112 NEGATIVE PRESSURE WOUND THERAPY POWERED SUCTION PUMP RENASYS EZ PLUS OMP SMITH & NEPHEW, INC. WD000000000066800697 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1