MAUDE MDR 755283

MDR report key
755283
Report number
3032792-2006-00011
Event key
0
Event type
3
Date of event
2006-07-23
Date received
2006-08-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
JOSHUA LASKER
Address
14715 NE 95TH ST. STE 100 REDMOND WA 98052 US
Phone
425-425-4252
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PROSORBA COLUMNPROSORBA COLUMNFRESENIUS HEMOCARELQQ97987019798701RGN001CNNN

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12006-08-2401. H

Event Narratives#

D

Patient 1

PATIENT ADMITTED WITH CHEST PAIN 4 DAYS AFTER HIS 4TH PROSORBA TREATMENT. HE WAS DIAGNOSED WITH A BLOCKAGE IN THE LEFT MAIN CORONARY ARTERY DURING CARDIAC CATHETERIZATION IN 2006. ANOTHER CARDIAC CATH WAS PERFORMED FIVE DAYS LATER AND A STENT WAS PLACED. AFTER THIS SECOND CATHETERIZATION, THE PATIENT DEVELOPED RENAL ABNORMALITIES THOUGHT TO BE DUE TO CONTRAST MEDIA LIKELY DUE TO RADIOCONTRAST USED FOR THE CATHETERIZATIONS. MEDICAL HISTORY INCLUDES CORONARY ARTERY DISEASE WITH STENT PLACEMENT IN 2000, OBESITY, IMMOBILITY (MUST USE WALKER), HISTORY OF SMOKING, IDDM AND INTERMITTENT CHEST PAIN WHICH USUALLY SIBSIDES WITH NTG. SYMPTOMS RESOLVED AND PATIENT WAS DISCHARGED. PATIENT RESUMED PROSORBA TREATMENTS THE FOLLOWING MONTH AND HAS HAD NO RECURRENCE OF SYMPTOMS.

N

Patient 1

THIS INVESTIGATION IS A CLINICAL INVESTIGATION ONLY. RETURN OF PRODUCT NOT REQUESTED AS EVALUATION OF DEVICE AFTER USE NOT RELEVANT TO REPORTED EVENT. THE DEVICE WAS USED ACCORDING TO LABELED INDICATIONS AND IN THE APPROPRIATE ENVIRONMENT. TEMPORAL RELATIONSHIP OF THE EVENT AND PROSORBA MIGHT SUGGEST A CONTRIBUTORY RELATIONSHIP HOWEVER THIS PATIENT'S CHEST PAIN WAS LIKELY RELATED TO HIS UNDERLYING CARDIAC CONDITION.