A review of the complaint device history records, including collagen coating records, indicated that the graft was processed and inspected according to procedures and no anomaly was found.Specifically, the review of the water permeability testing records of products coated on the same day and under the same conditions as the complaint device indicated values well within product specifications.One retention sample coated on the same period and under the same conditions as the complaint device underwent water permeability testing at 120mmhg as per iso 7198.The test result indicated a value well within product specifications.No conclusion can be drawn.However, all available information and the product testing performed would tend to indicate that the device was not defective.The clinical details have been forwarded to the vice president, medical affairs, a former cardiac surgeon.From his analysis, the device likely played no role in the patient death.Most likely the event should be attributed to an unbalanced coagulation cascade induced by the complexity of the procedure, hypothermia and extended extra-circulatory support.
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During an arch replacement performed on (b)(6) 2015 to repair an aortic dissection, it was reported that the patient experienced intraoperative bleeding especially through the needle holes (500-600 ml/h).Platelet and coagulation factor were used to stop the bleeding.The duration of the operation was about 3 hours with nothing abnormal.Unfortunately, the hemostatic effect was not good, the patient eventually died of hemorrhagic shock.Additional clinical information indicated that anticoagulant medication was used before surgery, the act range during extracorporeal circulation was extremely high and the platelet data of the patient was low.
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