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