MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2019-03-12 for ZINGER GUIDE WIRE - CRDM LVZRXT180J manufactured by Medtronic, Inc.
[138547513]
Product event summary: the guidewire was returned and analyzed. The analysis indicate that the guidewire was kinked/buckled. The analyst noted that the guidewire was damaged and unraveled. Visual analysis of the lead indicated damage during use. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10
[138547514]
It was reported that during attempted implant of the left ventricular (lv) lead, a guidewire became stuck and was unable to progress further or be removed from the lead. The lead was removed and a replacement lead was implanted. No patient complications have been reported as a result of this event.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1220452-2019-00021 |
MDR Report Key | 8412622 |
Report Source | COMPANY REPRESENTATIVE,FOREIG |
Date Received | 2019-03-12 |
Date of Report | 2019-03-12 |
Date of Event | 2018-01-05 |
Date Mfgr Received | 2019-02-27 |
Device Manufacturer Date | 2017-08-24 |
Date Added to Maude | 2019-03-12 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | LISA ROBERTSON |
Manufacturer Street | 8200 CORAL SEA ST NE |
Manufacturer City | MOUNDS VIEW MN 55112 |
Manufacturer Country | US |
Manufacturer Postal | 55112 |
Manufacturer Phone | 7635262723 |
Manufacturer G1 | MEDTRONIC, INC |
Manufacturer Street | 37A CHERRY HILL DR |
Manufacturer City | DANVERS MA 01923 |
Manufacturer Country | US |
Manufacturer Postal Code | 01923 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ZINGER GUIDE WIRE - CRDM |
Generic Name | OCCLUDER, CATHETER TIP |
Product Code | DQT |
Date Received | 2019-03-12 |
Returned To Mfg | 2018-01-31 |
Model Number | LVZRXT180J |
Catalog Number | LVZRXT180J |
Lot Number | G17A05783 |
Operator | HEALTH PROFESSIONAL |
Device Availability | R |
Device Eval'ed by Mfgr | Y |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | MEDTRONIC, INC |
Manufacturer Address | 37A CHERRY HILL DR DANVERS MA 01923 US 01923 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-03-12 |