inforMED
MalfunctionNQH

CARDIOMEMS ENDOSURE DELIVERY SYSTEM

Received Aug 15, 2007 · Event occurred Aug 9, 2007

Report 3004936110-2007-00012 · MDR key 903482

Device

Generic name

Intravascular Pressure Sensor

Manufacturer

Cardiomems, Inc.

Model number

*

Catalog number

S2-2080

Lot number

*

Product problems

  • Unknown (for use when the device problem is not known)

Patient

87 YR

  • Transfusion of blood products
  • Therapy/non-surgical treatment, additional
  • Blood pressure, decreased
  • Blood Loss

Narrative

Description of Event or Problem

PATIENT HAS HEAVILY CALCIFIED ILIAC ARTERIES. SENSOR WAS INTRODUCED THROUGH A 14F SHEATH VIA STIFF GUIDEWIRE. A PIGTAIL CATHETER WAS INTRODUCED BESIDE THE SENSOR DELIVERY SYSTEM. THERE WAS VISIBLE BLOOD COMING FROM THE SHEATH AND THERE WERE ATTEMPTS MADE TO CONTAIN AND STOP THE BLOOD LOSS. BLEEDING CONTINUED THROUGHOUT THE PROCEDURE AND PATIENT'S BLOOD PRESSURE DROPPED. THE PT HAD TO BE PUT ON CELL SAVER AND ULTIMATELY WAS GIVEN BLOOD. THE SENSOR DELIVERY WAS STILL SUCCESSFUL AND PATIENT WAS STABLE AT THE END OF THE PROCEDURE.