FDA Adverse Event Death Summary report: N

*

MDR report key: 625663 · Received June 23, 2005

Report

Report Number
MW1035876
Event Type
Death
Date Received
June 23, 2005
Date of Event
September 25, 2001
Report Date
June 23, 2005
Manufacturer
*
Product Code
DTA
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

ACCORDING TO SOMETHING PT'S CARDIOLOGIST TOLD FAMILY MEMBER, IT SOUND LIKE THE WRONG LEAD WAS USED FOR PT - PROBABLY DUE TO PT'S BLOOD CONDITION, MYELOPROLIFERATIVE DISORDER - POLYCYTHEMIA VERA A THREADED TYPE SHOULD NOT HAVE BEEN USED. ALSO, PT'S LEFT JUGULAR VEIN WAS CLOGGED SO THEIR PACEMAKER WAS INSTALLED ON THE RIGHT SIDE. AFTER THIS PT STARTED FORMING BLOOD CLOTS. APPARENTLY PT'S LEAD WAS A THREADED TYPE WHICH MAY HAVE CAUSED THE CLOTS. IT CAUSED THEIR BATTERY TO BE USED EXTENSIVELY WHICH WOULD HAVE MEANT HAVING IT REPLACED IN ABOUT TWO YEARS VS THE NORMAL LIFE SPAN OF A PACEMAKER BATTERY. PT REFUSED ALL FURTHER SURGERY WHICH OF COURSE WAS THE ULTIMATE REASON PT DIED WHEN AND HOW THEY DID. THEIR PACEMAKER WAS A GUIDANT #MODEL 1283 AND THE LEAD-S - ALSO GUIDANT (WHICH WERE THE CAUSE OF THE PROBLEM) WERE MODEL 4463 AND MODEL 4464. FAMILY MEMBER IS NOT TRYING TO CAUSE ANY PROBLEMS, BUT FAMILY MEMBER IS TRYING TO FIND OUT WHO CHOSE THE TYPE OF LEADS TO BE USED FOR EACH SITUATION. FAMILY MEMBER CALLED THE MFR AND THE LADY FAMILY MEMBER SPOKE TO DIDN'T KNOW. PROBABLY MORE IMPORTANTLY, IN FAMILY MEMBER'S MIND, IS TO GET THE INFO RECORDED SO THAT IT BECOMES KNOWN. DOES FDA DO THIS? IF NOT, PLEASE GET THIS INFO TO THE RIGHT AGENCY. FAMILY MEMBER HAS BEEN TRYING TO DO THIS FOR YEARS AND THIS IS THEIR FINAL ATTEMPT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * PACEMAKER LEAD DTA * * *

Patients

Seq Age Sex Outcome Treatment
1 97 YR Death| L