SPECTRANETICS LEAD LOCKING DEVICE UNAVAILABLE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-17 for SPECTRANETICS LEAD LOCKING DEVICE UNAVAILABLE manufactured by The Spectranetics Corporation.

Event Text Entries

[184075408] Patient weight is unavailable from the facility. Device lot number, catalog number, expiration date and udi unavailable from the facility. Device manufacture date unavailable because device lot number unavailable. 510k# unavailable without model number.
Patient Sequence No: 1, Text Type: N, H10


[184075409] A lead extraction case commenced to remove three leads, two right ventricular (rv) and one right atrial (ra), due to bacteremia and pocket infection. All three of the leads were prepared with a spectranetics lead locking device (lld) to act as a traction platform in the extraction attempts. A spectranetics glidelight laser sheath and a tightrail rotating dialator sheath was utilized to remove the leads. During the removal of the rv lead, traction was applied to the rv lead and at this time the patient's blood pressure dropped. Rescue efforts began immediately, including rescue device and sternotomy. A tear was identified at the superior vena cava (svc). The patient was placed on pump, the tear successfully repaired, and the patient survived the procedure. Follow up information from the philips representative at the case stated that the physician believes the rv lead had been adhered to the wall of the svc due to adhesions. When traction was applied to the rv lead, the rv lead was removed from the wall of the svc, causing a tear.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1721279-2020-00053
MDR Report Key9842137
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-17
Date of Report2020-02-25
Date of Event2020-02-24
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2020-02-25
Date Added to Maude2020-03-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. JESSICA DOMINGUEZ
Manufacturer Street9965 FEDERAL DRIVE
Manufacturer CityCOLORADO SPRINGS CO 80921
Manufacturer CountryUS
Manufacturer Postal80921
Manufacturer Phone719447-246
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Sequence Number: 1

Brand NameSPECTRANETICS LEAD LOCKING DEVICE
Generic NameLLD
Product CodeDRB
Date Received2020-03-17
Model NumberUNAVAILABLE
Catalog NumberUNAVAILABLE
Lot NumberUNAVAILABLE FROM FACILITY
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerTHE SPECTRANETICS CORPORATION
Manufacturer Address9965 FEDERAL DRIVE COLORADO SPRINGS CO 80921 US 80921

Device Sequence Number: 101

Product Code---
Date Received2020-03-17
Device Sequence No101
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening; 3. Required No Informationntervention 2020-03-17

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