UNKNOWN CARDIOVASCULAR ACCESS
Report
- Report Number
- 9616099-2019-02730
- Event Type
- Injury
- Date Received
- February 19, 2019
- Date of Event
- March 6, 2003
- Report Date
- February 19, 2019
- Manufacturer
- CORDIS CORPORATION
- Product Code
- DRE
- PMA / PMN Number
- K970392
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
AS NOTED IN A LITERATURE PUBLICATION BY KESSEL, D. O., ROBERTSON, I., TAYLOR, E. J., & PATEL, J. V. (2003). RENAL STENTING FROM THE RADIAL ARTERY: A NOVEL APPROACH. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 25 (2), 146-149. DOI: 10.1007/S00270-001-0114-7; THERE WAS ONE SMALL PUNCTURE SITE HEMATOMA. IN THIS PATIENT, THE RADIAL PULSE COULD NOT BE PALPATED THE FOLLOWING DAY BUT HAD RETURNED AT ONE WEEK. THE PROCEDURE WAS RENAL STENTING FROM THE RADIAL ARTERY. A CONVENTIONAL 11CM 5F CORDIS SHEATH WAS USED. THE DEVICE WAS NOT RETURNED FOR EVALUATION. WITHOUT A LOT NUMBER AVAILABLE, THE DEVICE HISTORY RECORD (DHR) REVIEW FOR THE DEVICE WAS UNABLE TO BE CONDUCTED. WITHOUT THE RETURN OF THE DEVICE FOR ANALYSIS OR IMAGES FOR REVIEW, THE REPORTED CUSTOMER EVENT COULD NOT BE CONFIRMED. HEMATOMA IS A WELL-KNOWN POTENTIAL ADVERSE EVENT AND CAN BE RESULTING FROM INVASIVE PROCEDURES. THIS COMPLICATION MAY OCCUR AT ANY TIME DURING OR AFTER THE PROCEDURE AND USERS ARE TRAINED AND EXPERIENCED IN HOW TO TREAT THIS COMMON COMPLICATION. ALTHOUGH A CONCLUSIVE ROOT CAUSE MAY NOT BE DETERMINED, HEMATOMAS ARE FREQUENTLY RELATED TO STICK TECHNIQUE, ANTICOAGULATION, BLOOD PRESSURE, ADEQUATE SHEATH REMOVAL TECHNIQUE AND THE PATIENT'S COMPLIANCE TO DECREASE MOBILITY OF THE LIMB AFFECTED IN ORDER TO PROMOTE COAGULATION. GIVEN THE LIMITED INFORMATION AVAILABLE FOR REVIEW AT THIS TIME, AND WITHOUT A LOT NUMBER TO CONDUCT A DHR, THERE IS NOTHING TO SUGGEST THAT THE REPORTED EVENT IS RELATED TO THE DESIGN AND MANUFACTURING PROCESS OF THE DEVICE. THEREFORE NO CORRECTIVE ACTION WILL BE TAKEN. THIS ARTICLE WAS FOUND DURING A RECENT CLINICAL EVALUATION REVIEW/LITERATURE SEARCH OF THIS DEVICE. PLEASE NOTE THAT PATIENT SPECIFIC DETAILS (DEMOGRAPHICS, MEDICAL HISTORY AND REASON FOR INTERVENTION) ARE NOT AVAILABLE. THE DEVICES ARE SAVVY BUT THE CATALOG AND LOT NUMBERS ARE NOT AVAILABLE.
AS NOTED IN A LITERATURE PUBLICATION BY KESSEL, D. O., ROBERTSON, I., TAYLOR, E. J., & PATEL, J. V. (2003). RENAL STENTING FROM THE RADIAL ARTERY: A NOVEL APPROACH. CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, 25 (2), 146-149. DOI: 10.1007/S00270-001-0114-7; THERE WAS ONE SMALL PUNCTURE SITE HEMATOMA. IN THIS PATIENT, THE RADIAL PULSE COULD NOT BE PALPATED THE FOLLOWING DAY BUT HAD RETURNED AT ONE WEEK. THE PROCEDURE WAS RENAL STENTING FROM THE RADIAL ARTERY. A CONVENTIONAL 11CM 5F CORDIS SHEATH WAS USED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 144241 | UNKNOWN CARDIOVASCULAR ACCESS | DILATOR, VESSEL, FOR PERCUTANEOUS CATHETERIZATION | DRE | CORDIS CORPORATION | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| L| R |