MAUDE MDR 121354

MDR report key
121354
Report number
6000002-1997-00723
Event key
0
Event type
3
Date of event
1997-05-06
Date received
1997-09-17
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Related Records

Manufacturer Contact

Report source
M
Manufacturer link flag
Y

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EDWARDS PERICARDIAL PATCHPATCHBAXTER HEALTHCARE CORP. EDWARDS CVS DIV.MFX4700NA7B0151K833763YRN

Patients

SequenceReceivedTreatmentOutcome
11997-09-1711. R

Event Narratives

D

Patient 1

THIS EVENT WAS REPORTED AS FEVER AND POSITIVE CULTURES FOR MSSE ENDOCARDITIS. NO FURTHER INFO PROVIDED.

Related GUDID Devices By Product Code

No records found.

Related PMN/PMA Records By Product Code

TypeSubmissionProduct codeDeviceApplicantDecision date
510(k)K061727MFXGORE PRECLUDE VESSEL GUARDW. L. Gore & Associates, Inc.2006-08-07
510(k)K960532MFXPRECLUDE IMA SLEEVEW. L. Gore & Associates, Inc.1996-05-23