FDA Adverse Event Other Summary report: N

TUNA

MDR report key: 503421 · Received December 29, 2003

Report

Report Number
2950887-2003-01204
Event Type
Other
Date Received
December 29, 2003
Date of Event
December 1, 2003
Report Date
December 3, 2003
Manufacturer
MEDTRONIC GASTROENTEROLOGY/UROLOGY
Product Code
GEI
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE HCP REPORTED THAT DURING A TUNA PROCEDURE ONE NEEDLE APPEARED TO QUIT FUNCTIONING AFTER 2-3 LESIONS HAD BEEN CREATED. A SECOND CARTRIDGE WAS USED TO CONTINUE THE PROCEDURE WHICH DEVELOPED HIGH IMPEDANCE READINGS AND DIFFICULTY WITH THE NEEDLE SHEATH RETRACTING. THE PROCEDURE WAS COMPLETED USING A THIRD CARTRIDGE. FOLLOWING THE PROCEDURE IT WAS NOTED THAT THE PATIENT WAS EXPERIENCING BLEEDING WITH CLOT RETENTION. THE PATIENT WAS HOSPITALIZED AND TREATED WITH CATHETERIZATION AND BLADDER IRRIGATIONS. BLOOD TRANSFUSIONS WERE NOT REQUIRED AND THE PATIENT WAS SCHEDULED FOR DISCHARGE ON THE THIRD DAY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TUNA EEA GEI MEDTRONIC GASTROENTEROLOGY/UROLOGY 1900TU 3G006V

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Hospitalization EEA MODEL 1900TU LOT# 3G060V.