FDA Adverse Event Injury Summary report: N

GUARDWIRE TEMPORARY OCCLUSION SYSTEM

MDR report key: 8008421 · Received October 26, 2018

Report

Report Number
1220452-2018-00126
Event Type
Injury
Date Received
October 26, 2018
Date of Event
August 22, 2018
Report Date
October 26, 2018
Manufacturer
MEDTRONIC, INC
Product Code
DXE
PMA / PMN Number
K023878
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

LIT REF: HTTPS://DOI.ORG/10.1007/S00234-018-2085-2. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

FROM THE LITERATURE ARTICLE: A TRANSBRACHIAL CAS TECHNIQUE WITH PROXIMAL PROTECTION BY SHEATHLESS NAVIGATION OF A 9-F BALLOON-GUIDING CATHETER WITH AN OUTER DIAMETER EQUIVALENT TO A 7-F SHEATH WAS PERFORMED IN 8 CONSECUTIVE PATIENTS AMONG 39 PATIENTS WHO UNDERWENT CAS FROM APRIL 2016 TO JUNE 2017. MEDTRONIC DEVICES SUCH AS CAROTID GUARDWIRE AND SPIDER FX WERE USED DURING THE PROCEDURE. TECHNICAL SUCCESS WAS ACCOMPLISHED IN ALL PATIENTS. ONE PATIENT EXPERIENCED A THROMBOEMBOLIC EVENT, ALTHOUGH NO NEW NEUROLOGICAL DEFICITS WERE OBSERVED. A PSEUDOANEURYSM AT THE ACCESS SITE, WHICH REQUIRED ULTRASOUND-GUIDED COMPRESSION, OCCURRED IN ONE PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
850254 GUARDWIRE TEMPORARY OCCLUSION SYSTEM CATHETER, EMBOLECTOMY DXE MEDTRONIC, INC

Patients

Seq Age Sex Outcome Treatment
1 75 YR Required Intervention