FDA Adverse Event
Injury
Summary report: N
ACUSON ACUNAV 8F-90 ULTRASOUND CATHETER
MDR report key: 7076821
·
Received December 1, 2017
Report
- Report Number
- 3009498591-2017-00513
- Event Type
- Injury
- Date Received
- December 1, 2017
- Date of Event
- October 1, 2014
- Report Date
- December 1, 2017
- Manufacturer
- SIEMENS MEDICAL SOLUTIONS USA, INC.
- Product Code
- OBJ
- PMA / PMN Number
- K071234
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE DEVICE REFERENCED IN THIS REPORT WAS NOT RETURNED TO SIEMENS FOR EVALUATION; THEREFORE, A PHYSICAL INVESTIGATION OF THE DEVICE COULD NOT BE PERFORMED. (B)(4).
Description of Event or Problem · 1
SIEMENS MEDICAL SOLUTIONS USA, INC. FOUND AN ARTICLE TITLED: "INTRAVASCULAR US-GUIDED PORTAL VEIN ACCESS: IMPROVED PROCEDURAL METRICS DURING TIPS CREATION." IN THE ARTICLE, IT WAS REPORTED THAT WHILE USING AN ACUNAV PROBE, A STENT MALPOSITION OCCURRED DURING DEPLOYMENT OF A SECOND STENT. THIS MAY HAVE CONTRIBUTED TO A MINOR NECK HEMATOMA THAT RESULTED FROM AN INTERVENTION TO REPOSITION THE STENT. ATTEMPTS WERE MADE VIA EMAIL TO OBTAIN ADDITIONAL INFORMATION REGARDING THE REPORTED PHENOMENON AND PATIENT OUTCOME BUT WITH NO RESULTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 855182 | ACUSON ACUNAV 8F-90 ULTRASOUND CATHETER | ULTRASOUND DEVICE | OBJ | SIEMENS MEDICAL SOLUTIONS USA, INC. | ACUNAV 8F-90 | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other| R |