inforMED
MalfunctionNQH

CARDIOMEMS ENDOSURE DELIVERY SYSTEM

Received Mar 17, 2008 · Event occurred Mar 11, 2008

Report 3004936110-2008-00001 · MDR key 1016098

Device

Generic name

Intravascular Pressure Sensor

Manufacturer

Cardiomems, Inc.

Catalog number

S2-2080

Product problems

  • Difficult To Position

Patient

74 YR

  • Unknown (for use when the patient's condition is not known)

Narrative

Description of Event or Problem

THE SENSOR WAS DELIVERED TO THE AAA WITH NO ISSUES. UPON DELIVERY OF THE CONTRALATERAL LIMB OF THE STENT GRAFT, THE LIMB WAS UNABLE TO BE POSITIONED PROPERLY BECAUSE THE GUIDEWIRE FOR THE LIMB WAS WRAPPED AROUND THE SENSOR DELIVERY SYSTEM. BOTH THE SENSOR DELIVERY SYSTEM AND THE CONTRALATERAL LIMB WERE REMOVED FROM THE PT. THE LIMB WAS REINTRODUCED WITHOUT ISSUES. THE SENSOR WAS NOT PLACED IN THE PT. THE CASE WAS COMPLETED WITHOUT ANY FURTHER ISSUE.