MAUDE MDR 3910336

MDR report key
3910336
Report number
1063481-2014-00027
Event key
0
Event type
3
Date of event
2014-06-23
Date received
2014-07-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Contact
SANDRA O'REILLY
Address
1655 ROBERTS BLVD., NW KENNESAW GA 30144 US
Phone
770-770-7704
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CRYOVALVE SG- PULMONARY VALVE AND CONDUITHEART VALVE ALLOGRAFTCRYOLIFE, INC.OHASGPV0010413223R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12014-07-0201. O

Event Narratives#

D

Patient 1

(B)(6), CVOR COORDINATOR OF (B)(6) HOSPITAL CLAIMED THAT A PULMONARY VALVE THAT WAS IMPLANTED FRACTURED, BUT THE SURGEON REPAIRED IT.

N

Patient 1

THIS INVESTIGATION IS CURRENTLY ONGOING. ANY ADDITIONAL INFORMATION WILL BE PROVIDED IN THE FOLLOW-UP REPORT.

N

Patient 1

(B)(6), CVOR COORDINATOR OF (B)(6) HOSPITAL CLAIMED THAT A PULMONARY VALVE THAT WAS IMPLANTED FRACTURED, BUT THE SURGEON REPAIRED IT. THERE IS NO INDICATION THAT AN ERROR OR DEFICIENCY OCCURRED AT CRYOLIFE. IT IS LIKELY THAT THE DAMAGE OCCURRED AT THE USER FACILITY; CRYOLIFE PERSONNEL ARE TRAINED TO PROPERLY HANDLE CRYOPRESERVED ALLOGRAFTS AND NO ERRORS OR DEFICIENCIES WERE FOUND IN THE PROCESSING RECORD REVIEWS. THE INSTRUCTIONS FOR USE STATES, "CRYOPRESERVED ALLOGRAFTS ARE FRAGILE AND MUST BE HANDLED WITH CARE WHILE IN THE FROZEN STATE TO AVOID CAUSING DAMAGE TO THE ALLOGRAFT" AND "CARDIAC ALLOGRAFTS ARE HUMAN BIOLOGICAL TISSUES AND, AS SUCH PRESENT CONSIDERABLE ANATOMICAL VARIATION. SPECIFIC ALLOGRAFT ATTRIBUTES (REPRESENTING NORMAL VARIATION) AND DONOR-SPECIFIC INFORMATION IS DESCRIBED IN THE ALLOGRAFT DIAGRAM AND THE CERTIFICATE OF ASSURANCE SUPPLIED WITH EACH ALLOGRAFT."

D

Patient 1

(B)(6), CVOR COORDINATOR OF (B)(6) HOSPITAL CLAIMED THAT A PULMONARY VALVE THAT WAS IMPLANTED FRACTURED, BUT THE SURGEON REPAIRED IT.