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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL SWARTZ¿ INTRODUCER, UNKNOWN; TRANSSEPTAL CATHETER INTRODUCER

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ST. JUDE MEDICAL SWARTZ¿ INTRODUCER, UNKNOWN; TRANSSEPTAL CATHETER INTRODUCER Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Cardiac Arrest (1762); Cardiac Perforation (2513)
Event Date 02/22/2019
Event Type  Injury  
Manufacturer Narrative
The results of the investigation are inconclusive since the device was not returned for analysis.Based on the information received, the cause of the reported perforation and subsequent cardiac arrest could not be conclusively determined.Per the ifu, cardiac perforation is a known risk during the use of this device.
 
Event Description
Related manufacturer reference: 3008452825-2019-00110.During a stand alone atrial appendage occlusion procedure, a cardiac perforation and subsequent cardiac arrest occurred.The procedure was performed under general anaesthetic with transesophageal echocardiogram guidance.Following the procedure, the tamponade was treated with a pericardiocentesis followed by emergency surgery.During surgery the location of the perforation was discovered in the pulmonary artery.During recovery, the patient experienced cardiac arrest.Following the cardiac arrest, brain infarcts were diagnosed by ct and upper arm weakness was noted.It was indicated the perforation occurred during the transseptal puncture.There were no performance issues with any abbott devices.
 
Event Description
The patient was discharged in a stable condition.The patient experienced residual weakness and lack of co-ordination with hands, however otherwise was fully recovered.
 
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Brand Name
SWARTZ¿ INTRODUCER, UNKNOWN
Type of Device
TRANSSEPTAL CATHETER INTRODUCER
Manufacturer (Section D)
ST. JUDE MEDICAL
5050 nathan lane north
plymouth MN 55442
MDR Report Key8429011
MDR Text Key139084008
Report Number3005334138-2019-00143
Device Sequence Number1
Product Code DYB
Combination Product (y/n)N
PMA/PMN Number
K052644
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 03/29/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Initial Date Manufacturer Received 02/22/2019
Initial Date FDA Received03/18/2019
Supplement Dates Manufacturer Received03/18/2019
Supplement Dates FDA Received03/29/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Treatment
TRANSSEPTAL NEEDLE, BRK SERIES; TRANSSEPTAL NEEDLE, BRK SERIES
Patient Outcome(s) Other; Required Intervention;
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