inforMED
MalfunctionJOS

LEVEEN COACCESS ELECTRODE SYSTEM

Received Feb 19, 2009 · Event occurred Jan 20, 2009

Report 3005099803-2009-00637 · MDR key 1354012

Device

Model number

M001262220

Catalog number

26-222

Lot number

UNK

Product problems

  • Difficult to Insert

Patient

UNK

  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION IN EARLY 2009, THAT A LEVEEN COACCESS ELECTRODE SYSTEM WAS USED DURING A PROCEDURE PERFORMED THE DAY BEFORE. ACCORDING TO THE COMPLAINANT, DURING INTRODUCTION OF THE INTRODUCER INTO AN ECHO PROBE, SEVERE RESISTANCE WAS EXPERIENCED. THE PROCEDURE WAS COMPLETED WITH ANOTHER LEVEEN COACCESS ELECTRODE SYSTEM. THERE WERE NO PATIENT COMPLICATIONS REPORTED AS A RESULT OF THIS EVENT. THE PATIENT'S CONDITION AT THE CONCLUSION OF THE PROCEDURE WAS REPORTED TO BE GOOD.

Additional Manufacturer Narrative

THE COMPLAINANT WAS UNABLE TO PROVIDE THE SUSPECT DEVICE LOT NUMBER; THEREFORE, THE DEVICE MANUFACTURE DATE AND EXPIRATION DATE ARE UNKNOWN. THE DEVICE HAS BEEN RECEIVED BY THIS MANUFACTURER, HOWEVER, THE INVESTIGATION HAS NOT YET BEEN PERFORMED. UPON COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED.