InjuryNQH
CARDIOMEMS ENDOSURE DELIVERY SYSTEM
Received Mar 30, 2007 · Event occurred Mar 14, 2007
Report 3004936110-2007-00004 · MDR key 836827
Device
Generic name
Intravascular Pressure Sensor
Manufacturer
Cardiomems, Inc.Model number
*Catalog number
ADS-1001
Lot number
*
Product problems
- Device, or device fragments remain in patient
- Difficult to Remove
- Component Missing
- Physical Resistance
Patient
83 YR
- Nonresorbable materials, unretrieved in body
Narrative
Description of Event or Problem
THE ILIAC WAS VERY DISEASED AND TORTUOUS. THE PHYSICIAN HAD TO BALLOON TO PLACE AN 18F SHEATH. THE SENSOR DELIVERY SYSTEM WAS THEN INTRODUCED. WHILE RETRACTING THE DELIVERY SYSTEM SOME RESISTANCE WAS MET. AFTER THE DELIVERY SYSTEM WAS REMOVED, IT WAS NOTED THAT THE DILATOR TIP WAS MISSING. THE DILATOR TIP, ALTHOUGH ON THE GUIDEWIRE, WAS UNABLE TO BE RECAPTURED. THE DILATOR TIP WAS LEFT IN THE EXCLUDED ANEURYSM SAC PARALLEL TO THE STENT GRAFT. THE PATIENT WAS RELEASED FROM THE HOSPITAL WITH NO FURTHER INCIDENT.