FDA Adverse Event Other Summary report: N

VASCUTEK LIMITED GELSOFT

MDR report key: 478336 · Received August 5, 2003

Report

Report Number
9612515-2003-00013
Event Type
Other
Date Received
August 5, 2003
Date of Event
May 28, 2003
Report Date
August 4, 2003
Manufacturer
VASCUTEK LTD.
Product Code
DSY
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

DURING A CARDIOVASCULAR PROCEDURE, THE SURGEON ATTEMPTED TO CUT A GELSOFT KNITTED VASCULAR PROSTHESIS USING A CAUTERY. THE USE OF THE CAUTERY ON THE GELATIN SEALED KNITTED VASCULAR PROSTHESIS CAUSED FOCAL BURNING AND THE GRAFT TO IGNITE. THERE WAS NO DEATH OR SERIOUS INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 VASCUTEK LIMITED GELSOFT VASCULAR PROSTHESIS DSY VASCUTEK LTD. NA 39482/1

Patients

Seq Age Sex Outcome Treatment
1 NA Other