inforMED
DeathPXU

PERICARDIOCENTESIS KIT.8.3F (2.77 MM).40 CM (15.7").PIGTAIL.

Received Mar 12, 2025 · Event occurred Feb 23, 2025

Report 1125782-2025-00002 · MDR key 21584749

Device

Generic name

Fluid Drainage Tray

Catalog number

PC801/A

Lot number

T2933767

Product problems

  • Break
  • Material Separation
  • Break
  • Material Separation

Patient

76 YR · Male

  • Cardiac Arrest
  • Cardiac Arrest

Narrative

Description of Event or Problem

MEDWATCH RECEIVED MW5167050 - THE ACCOUNT ALLEGES THAT IN THE CATH LAB WHILE PERFORMING A PERICARDIAL FLUID DRAINAGE PROCEDURE, THE PATIENT INITIALLY BECAME HEMODYNAMICALLY UNSTABLE AND A CODE BLUE WAS CALLED. THE CODE BLUE WAS TERMINATED PER THE FAMILIES REQUEST AND THE PATIENT EXPIRED. A GUIDEWIRE FROM PERICARDIOCENTESIS KIT WAS FOUND DAMAGED POST PROCEDURE.

Additional Manufacturer Narrative

THE SUSPECT MEDICAL DEVICE IS NOT EXPECTED TO RETURN FOR EVALUATION. THE COMPLAINT COULD NOT BE CONFIRMED. THE ROOT CAUSE COULD NOT BE DETERMINED. THE DEVICE HISTORY RECORD WAS REVIEWED, AND NO EXCEPTION DOCUMENTS WERE FOUND. A SEARCH OF THE COMPLAINT DATABASE WAS PERFORMED AND NO SIMILAR COMPLAINTS FOR THIS LOT NUMBER WERE IDENTIFIED. SHOULD THE DEVICE BE RETURNED LATER, THE INVESTIGATION WILL BE REOPENED.