MAUDE MDR 288680

MDR report key
288680
Report number
2025587-2000-00060
Event key
0
Event type
3
Date of event
2000-04-12
Date received
2000-08-04
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

Contact
KATHRYN LYNESS
Address
7000 CENTRAL AVENUE N.E. MINNEAPOLIS MN 55440 US
Phone
763-763-7635
Report source
M
Manufacturer link flag
Y

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PERICARDIAL PATCH - 5 CM X 12 CMBOVINE PERICARDIAL PATCHMEDTRONIC HEART VALVES, INC.MFX710HP710S00846001IK830883YRN

Patients

SequenceReceivedTreatmentOutcome
12000-08-0401. R

Event Narratives

D

Patient 1

HEALTHCARE PROFESSIONAL REPORTED THAT THE PERICARDIAL PATCH WAS USED ON PT FOR A DURA PATCH. ONE WEEK LATER PT HAD AN INFLAMATORY REACTION AND DEVELOPED SIGNS OF HYDROCEPHALUS. RECOVERED AFTER 4 WEEK TREATMENT WITH STEROIDS.

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