FDA Adverse Event Death Summary report: N

URCHIN HEART POSITIONER

MDR report key: 457664 · Received May 1, 2003

Report

Report Number
2135394-2003-00001
Event Type
Death
Date Received
May 1, 2003
Date of Event
April 3, 2003
Manufacturer
MEDTRONIC CARDIAC SURGERY TECHNOLOGIES
Product Code
DWS
Report Source
Manufacturer report
Reporter Occupation
INVALID DATA

Narratives

Description of Event or Problem · 1

INFO RECEIVED INDICATES THAT DURING HEART POSITIONING TO EXPOSE THE CIRCUMFLEX SYSTEM, THE APEX OF THE HEART RUPTURED. EMERGENCY REPAIR WAS PERFORMED. THE PT WENT INTO MULTI-SYSTEM FAILURE SECONDARY TO LOW-OUTPUT SYNDROME. PT LATER EXPIRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 URCHIN HEART POSITIONER * DWS MEDTRONIC CARDIAC SURGERY TECHNOLOGIES * *

Patients

Seq Age Sex Outcome Treatment
1