It was reported that the physician performed a bilateral great saphenous vein(gsv) procedure on a patient in (b)(6) 2016 using a vena seal closure system without incident.No tumescent infiltration or compression was used.Several segments were treated and the vein was reported to have closed.It was reported that patient experienced phlebitis one day after the procedure.The contralateral limb, which was also treated, is normal.Within 1 month of treatment a patch of discoloration appeared 20 cm proximal to the access site on one leg.This developed into an ulcer like wound which healed several weeks later with antibiotics however reappeared several months after.Patient was admitted to hospital on (b)(6) 2016.Patient was placed on iv antibiotics and sent to surgery to have the vein excised.Physician had to explore deeper into the tissue and bone, thus this was more invasive than was first thought.Patient was discharged and put on iv antibiotics for 10 days.Patient saw a surgeon on (b)(6) 2016 who expressed concerns that the remaining segment was causing an issue and should be excised.Patient was diagnosed with deep vein thrombosis on (b)(6) 2016.Medtronic became aware that the patient exposed the wound to salt/sea water one day post the initial procedure.The patient was discharged after four antibiotic changes on (b)(6) 2016.On (b)(6) 2016, medtronic became aware that the patient has been placed on 24 hour antibiotic pump and it was reported that this is helping to resolve the infection.However, the patient was brought back to have remaining vein segment removed on (b)(6) 2016.The remaining segment, with the cyanoacrylate implant, was successfully removed from the right leg.The patient¿s left leg remains unaffected.
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