inforMED
InjuryMMX

AVEIR¿ RETRIEVAL SYSTEM CATHETER

Received May 22, 2024 · Event occurred Nov 15, 2023

Report 2017865-2024-42194 · MDR key 19378316

Device

Generic name

Device, Percutaneous Retrieval

Model number

LSCR111

Lot number

9016137

Product problems

  • Connection Problem
  • Connection Problem

Patient

NA · Unknown

  • Low Blood Pressure/ Hypotension
  • Cardiac Perforation
  • Pericardial Effusion
  • Low Blood Pressure/ Hypotension
  • Cardiac Perforation
  • Pericardial Effusion

Narrative

Additional Manufacturer Narrative

A DEVICE HISTORY RECORD (DHR) REVIEW WAS PERFORMED AND ALL REQUIRED MANUFACTURING PROCESSES AND INSPECTIONS STEPS WERE CONFIRMED TO BE COMPLETED PER THE REQUIREMENTS. THE DEVICE MET SPECIFICATIONS PRIOR TO LEAVING ABBOTT MANUFACTURING FACILITIES.

Description of Event or Problem

IT WAS REPORTED THE PATIENT PRESENTED FOR AN ATRIOVENTRICULAR NODE ABLATION. FOLLOWING THE PROCEDURE, THE LONGEVITY ESTIMATE ON THE LEADLESS PACEMAKER (LP) DECREASED AND THE CAPTURE THRESHOLD INCREASED. THE PATIENT PRESENTED FOR EXPLANT PROCEDURE ON (B)(6)2024. DURING THE PROCEDURE, THE REPLACEMENT LP WAS IMPLANTED AND EXPLANT OF THE OLD LP WAS ATTEMPTED. THE RETRIEVAL CATHETER FAILED TO CONNECT TO THE DOCKING BUTTON ON THE OLD LP. THE OLD LP WAS DEACTIVATED. AT THE END OF THE PROCEDURE, AN EFFUSION WAS DISCOVERED WHEN THE PATIENT'S BLOOD PRESSURE RAPIDLY DROPPED. PERICARDIOCENTESIS WAS PERFORMED. THE PATIENT WAS IN STABLE CONDITION POST-PROCEDURE.