inforMED
InjuryNQH

CARDIOMEMS ENDOSURE DELIVERY SYSTEM

Received Feb 2, 2007 · Event occurred Jan 22, 2007

Report 3004936110-2007-00001 · MDR key 813009

Device

Generic name

Intravascular Pressure Sensor

Manufacturer

Cardiomems, Inc.

Model number

*

Catalog number

ADS-1001

Lot number

*

Product problems

  • Premature Activation

Patient

64 YR

  • Surgical procedure, additional

Narrative

Description of Event or Problem

PATIENT HAD A LARGE ANEURYSM NECK AND TORTUOUS ARTERIES AND PHYSICIAN HAD DIFFICULTY IN IMPLANTING THE STENT GRAFT. THE SENSOR WAS DEPLOYED. WHEN THE SENSOR DELIVERY SYSTEM WAS WITHDRAWN, THE DILATOR/HYPOTUBE CAUGHT ON THE STENT GRAFT. THE PHYSICIAN REMOVED THE SENSOR DELIVERY SYSTEM, HOWEVER, THE MAIN BODY OF THE STENT GRAFT DEPLOYED PREMATURELY NECESSITATING ADDITIONAL STENT GRAFT COMPONENTS TO COMPLETE THE PROCEDURE. THE PATIENT WAS CONVERTED TO AN AUI WITH FEMORAL-FEMORAL BYPASS. THE PATIENT WAS DISCHARGED WITHOUT FURTHER INCIDENT.