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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ETHICON INC. TEMPORARY CARDIAC PACING WIRE; ELECTRODE, PACEMAKER, TEMP

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ETHICON INC. TEMPORARY CARDIAC PACING WIRE; ELECTRODE, PACEMAKER, TEMP Back to Search Results
Catalog Number FEFEP15
Device Problem Appropriate Term/Code Not Available (3191)
Patient Problems Cardiac Tamponade (2226); Blood Loss (2597)
Event Type  Injury  
Manufacturer Narrative
Date sent to the fda: 10/19/2017.(b)(4).To date the device has not been returned.If the device or further details are received at the later date, a supplemental medwatch will be sent.Attempts are being made to obtain the additional information.To date no response has been provided.If further details are received at the later date, a supplemental medwatch will be sent.Does the surgeon believe that there was any deficiency in the temporary pacing wire? does the surgeon believe the cardiac tamponade was related to the temporary pacing wire? what is the surgeon opinion of the relationship of the hemothorax to the pacing wire removal?.
 
Event Description
It was reported in a journal article that the patient underwent a ventricular and/or atrial valve cardiac surgery on unknown date and the epicardial temporary pacing wire was inserted.The patient possibly experienced severe complications after wire removal such as tamponade or hemothorax.It was also reported that given the benefits of temporary epicardial pacing and the low incidence of severe complications, this method is still the best way to treat conduction abnormalities following valve surgery.The utility of temporary epicardial pacing wires after coronary bypass remains unclear.Additional information has been reported.
 
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Brand Name
TEMPORARY CARDIAC PACING WIRE
Type of Device
ELECTRODE, PACEMAKER, TEMP
Manufacturer (Section D)
ETHICON INC.
p.o. box 151, route 22 west
somerville 08876 0151
Manufacturer (Section G)
ETHICON INC.
Manufacturer Contact
darlene kyle
p.o. box 151, route 22 west
somerville 08876-0151
9082182792
MDR Report Key6962138
MDR Text Key89737142
Report Number2210968-2017-70598
Device Sequence Number1
Product Code LDF
Combination Product (y/n)N
PMA/PMN Number
K980503
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Reporter Occupation Other
Type of Report Initial
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/19/2017
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue NumberFEFEP15
Was Device Available for Evaluation? No
Date Manufacturer Received09/22/2017
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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