MAUDE MDR 807864

MDR report key
807864
Report number
6000002-2007-00041
Event key
0
Event type
3
Date of event
2006-12-19
Date received
2007-01-19
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Related Records

Manufacturer Contact

Contact
ALLISON MEZZANATTO
Address
ONE EDWARDS WAY IRVINE CA 92614 US
Phone
949-949-9492
Report source
M
Manufacturer link flag
Y

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EDWARDS PERICARDIAL PATCHPERICARDIAL PATCHEDWARDS LIFESCIENCESMFX4700NANAK833763NRN

Patients

SequenceReceivedTreatmentOutcome
12007-01-1901. R

Event Narratives

D

Patient 1

A NURSE ACCIDENTLY SPLASHED GLUTARALDEHYDE ONTO HER FACE AS SHE WAS SEALING THE JAR.

N

Patient 1

DEVICE NOT RETURNED.

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