FDA Adverse Event Injury Summary report: N

EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE

MDR report key: 7181718 · Received January 10, 2018

Report

Report Number
MW5074530
Event Type
Injury
Date Received
January 10, 2018
Date of Event
January 3, 2018
Report Date
January 9, 2018
Manufacturer
EDWARDS LIFESCIENCES
Product Code
NPT
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

A RADIOLOGY PT WAS HAVING AN MRI OF THE LEFT KNEE. PT STATED SHE HAS PULMONARY ATRESIA. SHE STATED SHE HAS A (B)(4) TRANSCATHETER HEART VALVE (MRI CONDITIONAL 8). PT DID NOT BRING HER IMPLANT MRI CARD TO HAVE THE MRI. MRI TECHNOLOGIST CALLED THE PHYSICIAN, WHICH STATED THAT IT WAS OKAY FOR THE PT TO BE PUT IN THE MRI MACHINE. ONCE SCAN STARTED THE PT STATED HAD IMMEDIATE CHEST PAIN. IMMEDIATELY TOOK PT OUT OF SCAN ROOM, TOOK HER VITALS IN THE ARTHROGRAM ROOM. HR (B)(6)-BP (B)(6)- 02:100 AT 1745. CHARGE TECH IMMEDIATELY WENT TO OPERATING ROOM FOR NURSE. THE NURSE CHECKED PT STILL HAVING SOME PAIN. THE CHARGE WENT TO GET PHYSICIAN. PT WAS ASSESSED HR (B)(6)-BP (B)(6)- 02:100. AT 1800, PT WAS BROUGHT TO THE INJURY CLINIC FOR MONITORING. PT STATED SHE WAS FEELING FINE. DR TALK TO PT AND GRANDMOTHER THAT IF SHE STARTS HAVING ANY KIND OF PAIN TO GO IMMEDIATELY TO THE ER. PT WAS IN GOOD SPIRITS WHEN SHE LEFT. PT ALSO HAS STERNAL WIRES FROM OPEN HEART SURGERY. CHEST PAIN WAS OF UNCLEAR ORIGIN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
24987 EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE EDWARDS SAPIEN XT TRANSCATHETER HEART VALVE NPT EDWARDS LIFESCIENCES

Patients

Seq Age Sex Outcome Treatment
1 17 YR Required Intervention