DXTERITY TRA UNK-CV-DAN-DXT

MAUDE Adverse Event Report

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 2020-02-25 for DXTERITY TRA UNK-CV-DAN-DXT manufactured by Medtronic, Inc.

Event Text Entries

[184118634] If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[184118635] A post market clinical follow-up (pmcf) survey was conducted on behalf of medtronic to seek out potential new risks and assess performance of the dxterity diagnostic catheter. Survey results were obtained from an interventional cardiologist in practice 18 years. In the past 12 months the physician performed 180 procedures using the dxterity diagnostic catheter. 25 procedures using the 5 fr x100cm, 130 procedures using the intermediate sizes, and 25 procedures using the 6f x 125cm. The following complications adverse events/effects were encountered when using the dxterity diagnostic catheter product over the last 12 months. 1 plaque dislodgement event occurred which was related to the procedure but not directly to the medtronic dxterity diagnostic catheter 3 vasospasm events occurred which were related to the procedure but not directly to the medtronic dxterity diagnostic catheter. In one case the dxterity diagnostic catheter did not perform as expected when delivering guidewires to selected sites in the coronary and vascular system. This was attributed to a very kinked subclavian artery.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1220452-2020-00025
MDR Report Key9749291
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-02-25
Date of Report2020-02-25
Date Mfgr Received2020-02-10
Date Added to Maude2020-02-25
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactTONI O'DOHERTY
Manufacturer StreetPARKMORE BUSINESS PARK WEST
Manufacturer CityGALWAY
Manufacturer CountryIE
Manufacturer Phone091708734
Manufacturer G1MEDTRONIC, INC
Manufacturer Street37A CHERRY HILL DR
Manufacturer CityDANVERS MA 01923
Manufacturer CountryUS
Manufacturer Postal Code01923
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDXTERITY TRA
Generic NameCATHETER, INTRAVASCULAR, DIAGNOSTIC
Product CodeDQO
Date Received2020-02-25
Catalog NumberUNK-CV-DAN-DXT
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC, INC
Manufacturer Address37A CHERRY HILL DR DANVERS MA 01923 US 01923


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-02-25

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