inforMED
MalfunctionNQH

ENCLOSURE SENSOR

Received Mar 30, 2007 · Event occurred Mar 14, 2007

Report MW1042461 · MDR key 835156

Device

Generic name

Same

Manufacturer

Cardio Mem's

Model number

*

Catalog number

ADS-1001

Lot number

09D032501

Product problems

  • Difficult or Delayed Positioning
  • Loose
  • Device, or device fragments remain in patient
  • Difficult to Remove

Patient

83 YR

  • Nonresorbable materials, unretrieved in body

Narrative

Description of Event or Problem

DURING A ROUTINE ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR ON 03/14/07 AT THE TIME OF DEPLOYMENT OF THE CARDIOMEM PRESSURE SENSOR, THE SENSOR CAME LOOSE AND DEPLOYED WITHIN THE EXCLUDED ANEURYSM SAC. MULTIPLE ATTEMPTS WERE MADE TO RETRIEVE THE SENSOR WITHOUT SUCCESS. LENGTH OF TIP LEFT IN PT WAS APPROXIMATELY 2 - 2.5 INCHES. PATIENT WILL BE FOLLOWED CLOSELY BY MD.