We have not yet received the complaint device for evaluation.Hence, we could not conclusively determine the root cause of the incident.Our review of the lot history records for this lot number did not find any discrepancies either in the manufacturing or packaging process that could be related to this incident.Further, we have not received any other complaints of a similar nature for devices from this lot number.Catheter was used in a cadaver in order to remove the liver, kidneys and pancreas for transplant.Device operated properly during pre-use check and during initial phase of the procedure.It is possible that the balloon ruptured due to calcification on the aortic walls.
|
A (b)(6) cadaver was put into ecmo with nonmothermic reperfusion in order to remove the liver, kidney and pancreas for transplant.The aortic balloon was channeled through the left femoral artery and was inflated to 30 cc with 0.9% saline.Radial blood pressure drop was verified confirming the catheter was functioning properly.During the procedure, ecmo stopped and it went to an asystole in less that 2 minutes.Transplant coordinator then infused saline to a maximum dose of 50 cc without experiencing any resistance.Ecmo was activated again and resumes self-resuscitation.However, ecmo stopped again.So, the procedure was suspended and the balloon was removed from the patient's vessel.He observed that the balloon of this catheter had ruptured.
|