SESTAMIBI

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-09-02 for SESTAMIBI manufactured by Pharmalogic.

Event Text Entries

[2240472] Pharmalogic reported on (b)(6) 2011 that they were aware of a altered biodistribution issue with sestamibi-r- due to a generator malfunction. Lot affected was 1134. Product passed the company's qi and assayed for the correct amounts of sestamibi-r-. However, affected pt's heart was unable to be visualized on nuclear scan during cardiac stress testing due to the increased uptake by of the radioisotope by the stomach and bowel. Patient did not suffer any harm, but is inconvenienced by having the test repeated.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5022123
MDR Report Key2240770
Date Received2011-09-02
Date of Report2011-09-02
Date of Event2011-08-24
Date Added to Maude2011-09-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSESTAMIBI
Generic NameSESTAMIBI
Product CodeKTA
Date Received2011-09-02
Lot Number1134
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerPHARMALOGIC


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-09-02

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