inforMED
DeathDRE

13FR MECHANICAL DILATOR SHEATH SET

Received Dec 2, 2013 · Event occurred Nov 18, 2013

Report MW5033199 · MDR key 3499808

Device

Generic name

13fr Mechanical Dilator Sheath Set

Manufacturer

Cook Vascular Inc

Catalog number

LR-EVN-13.0

Lot number

N100925

Product problems

  • Difficult to Remove

Patient

89 YR

  • Death
  • Exsanguination

Narrative

Description of Event or Problem

PT EXPIRED DURING PROCEDURE IN CATH LAB. PHYSICIAN HAD DIFFICULTY REMOVING A LEAD WITH POSSIBLE ADHESION OF LEAD TO THE SUPERIOR VENA CAVA. RESULTED IN WHAT APPEARED TO BE ...