FDA Adverse Event Other Summary report: N

TUNA

MDR report key: 493356 · Received October 29, 2003

Report

Report Number
2950887-2003-00989
Event Type
Other
Date Received
October 29, 2003
Date of Event
September 17, 2003
Report Date
October 20, 2003
Manufacturer
MEDTRONIC GASTROENTEROLOGY/UROLOGY
Product Code
KNS
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

TWO DAYS FOLLOWING A SUCCESSFUL TUNA PROCEDURE THE PT PRESENTED WITH CONGESTIVE HEART FAILURE AND A URINARY INFECTION. PT WAS DISCHARGED 4 DAYS LATER BUT WAS RE-ADMITTED IN 3 DAYS WHERE ECHOGRAM AND CT REVEALED SOME OBSTRUCTION OF THE LEFT KIDNEY. PT UNDERWENT CYSTOSCOPY AND PLACEMENT OF A LEFT URETRAL STENT. THE CATHETER WAS SUBSEQUENTLY REMOVED AND THE PT WAS VOIDING WELL PRIOR TO DISCHARGE FROM THE HOSPITAL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TUNA EEU KNS MEDTRONIC GASTROENTEROLOGY/UROLOGY 7900TU NA

Patients

Seq Age Sex Outcome Treatment
1 83 YR Hospitalization