IRE SINGLE ELECTRODE PROBE 20400102

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06,07 report with the FDA on 2010-04-07 for IRE SINGLE ELECTRODE PROBE 20400102 manufactured by Angiodynamics.

Event Text Entries

[1576797] (b) (6) i just learned today that she died. (b) (6) we treated almost 4 weeks ago and who i described in prior emails had markedly improving liver function and renal function. However, she remained ventilator dependent for over 3 weeks for unclear reasons. She had a pre-procedural ecog performance status of 0-1. There was no evidence of ards, or pulmonary edema on cxr. Last friday, her ct showed no pe no ct detectable hepatic pulmonary shunts, and no pulmonary edema. There was no evidence of diaphragmatic injury. There was only a small amount of ascites and pleural effusion. The cause of her pulmonary issues and ventilator dependence are unclear. She had failed several attempts to extubate. There was a discussion of placing a tracheotomy which her children did not support. On monday (b) (6) 2010 she was extubated and transferred to a floor. She passed away later that day. (b) (6) died - 24 days post op which is under the 30 day limit making this a procedural related death. I do not yet know why she was extubated, and why she died. Do not know if she had an autopsy. Will investigate over the next few days and let you know.
Patient Sequence No: 1, Text Type: D, B5


[8665932] Lot history record review: the lot number was not provided. A ship history showed that the following lots had been shipped in the last 6 months: (b) (4). The complaint information was forwarded to (b) (4). (b) (4) reviewed the possible lot history records and found no variances related to this event were observed. Review of returned sample: the complaint sample was not returned for evaluation. Conclusion: this complaint is currently under investigation. A copy of the autopsy reported has been requested. A follow up report will be submitted at the end of the investigation. Frequency has increased, but the severity of this event is not greater than usual.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1319211-2010-00016
MDR Report Key1655768
Report Source05,06,07
Date Received2010-04-07
Date of Report2010-03-31
Date of Event2010-03-22
Date Mfgr Received2010-03-29
Date Added to Maude2010-04-13
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMARGARET MCGUIRE
Manufacturer Street603 QUEENSBURY AVE.
Manufacturer CityQUEENSBURY NY 12804
Manufacturer CountryUS
Manufacturer Postal12804
Manufacturer Phone5187981215
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameIRE SINGLE ELECTRODE PROBE
Generic NameIRE SINGLE ELECTRODE PROBE
Product CodeOHJ
Date Received2010-04-07
Catalog Number20400102
Lot NumberNOT REPORTED
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerANGIODYNAMICS
Manufacturer AddressQUEENSBURY NY US


Patients

Patient NumberTreatmentOutcomeDate
101. Death; 2. Required No Informationntervention 2010-04-07

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