InjuryNHW
REMINGTON
Received Jul 30, 2009 · Event occurred Jun 12, 2009
Report MW5012191 · MDR key 1431497
Device
Product problems
- Break
- Detachment Of Device Component
Patient
82 YR
- Death
Narrative
Description of Event or Problem
PT S/P AVR, TEE ON CARDIOVASCULAR UNIT DEVELOPED HYPOTENSION AND BRADYCARDIA. PT'S EPICARDIAL PACING WIRES WERE ATTACHED TO TWO EXTENSION CABLES TO ATTEMPT TO PACE THE PT. ONE OF THE EXTENSION CABLES QUICK CONNECT TABS BROKE OFF; CABLE COULD NOT BE SECURED TO PACEMAKER. CABLES REPLACED WITH OTHER CABLES AND THERE WAS NO HARM TO THE PT, WHO WAS TRANSFERRED TO ICU AND EXPIRED LATER THAT EVENING FROM HER UNDERLYING DISEASE.