Dr (b)(6) used peelable introducers model number 1000093-001 and 1000093-03 for a dual chamber icd placement.Dr (b)(6) placed both introducers into the blood vessel.He then began placing rv icd lead via model 1000093-03.While manipulating icd lead the introducer consistently kinked at the hub of where the peelable portion of the introducer met the wings where you peel.He had to manipulate the introducer while trying to position the lead.At one point he was unable to quickly maneuver the lead and pt had sustained vt which required an external defibrillation.He did state he should have maneuvered lead better to prevent vt, but said the introducer did make it more difficult.
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