inforMED
InjuryMAL

8MM 30CM HEMASHIELD PLAT WDV

Received May 28, 2014 · Event occurred May 2, 2014

Report 2242352-2014-00626 · MDR key 3865504

Device

Generic name

Vascular Graft

Model number

M00202175208P0

Lot number

25071735

Product problems

  • Leak/Splash

Patient

Not reported

  • Blood Loss

Narrative

Description of Event or Problem

THE HOSPITAL REPORTED DURING AN ASCENDING AORTA REPLACEMENT, AN 8 MM 30 CM HEMASHIELD PLAT WDV WAS USED FOR A PERFUSION LINE AND THE HOSPITAL STAFF REPORTED EXCESSIVE BLEEDING FROM THE GRAFT. A REPLACEMENT DEVICE WAS USED TO COMPLETE THE PROCEDURE. A TRANSFUSION WAS NOT REQUIRED AND THE PATIENT IS RECOVERING. THE GRAFT IS NOT RETURNING.

Additional Manufacturer Narrative

SINCE THE DEVICE IS NOT AVAILABLE TO BE RETURNED TO US, A TECHNICAL EVALUATION CANNOT BE PERFORMED. PER OUR STANDARD SOP'S, ALL EVENTS ARE TRACKED AND TRENDED TO DETERMINE WHETHER OR NOT ANY TRENDS DEVELOP. A LOT HISTORY RECORD REVIEW WAS COMPLETED FOR THE REPORTED PRODUCT LOT NUMBER. THERE WAS NO NON-CONFORMANCE RECORDED IN THE LOT HISTORY. THERE ARE NO OTHER SIMILAR COMPLAINTS REPORTED AGAINST THIS BATCH. (B)(4).