FDA Adverse Event
Death
Summary report: N
THERASPHERE
MDR report key: 4366453
·
Received December 18, 2014
Report
- Report Number
- 3002124545-2014-00038
- Event Type
- Death
- Date Received
- December 18, 2014
- Date of Event
- November 26, 2014
- Report Date
- December 17, 2014
- Manufacturer
- BIOCOMPATIBLES U.K. LIMITED
- Product Code
- NAW
- PMA / PMN Number
- H980006
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
ON (B)(6) 2014, PT UNDERWENT SELECTIVE INTERNAL RADIATION THERAPY (SIRT) WITH Y90 LOADED THERASPHERES. A BREMSSTRAHLUNG SCAN WAS OBTAINED, PT TRANSFERRED TO RECOVERY AND DISCHARGE 6 HOURS LATER WITHOUT COMPLICATIONS. ON (B)(6) 2014, INTERVENTIONAL RADIOLOGY NURSE POSTOPERATIVE FOLLOW-UP CALL. NURSE SPOKE WITH DAUGHTER (PT WAS SLEEPING. NO REAL COMPLAINTS; JUST TIRED. REASSURED THIS WAS NORMAL, ADVISED TO CONTINUE HYDRATION, REST, AND PRESCRIPTION, AS NEEDED. ON (B)(6) 2014, INTERVENTIONAL RADIOLOGY NURSE POSTOPERATIVE FOLLOW-UP CALL. NURSE SPOKE WITH DAUGHTER WHO RELAYED THAT ON (B)(6) 2014, PT HAD FALLEN AND WHEN LIFTED UP, EYES ROLLED BACK IN HEAD AND HE EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 832860 | THERASPHERE | YTTRIUM-90 MICROSPHERES | NAW | BIOCOMPATIBLES U.K. LIMITED | 4990248 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 83 YR | Death |