GRAFT AG740

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-27 for GRAFT AG740 manufactured by Artegraft, Inc..

Event Text Entries

[131981442] Accessed graft the day after my procedure and had severe bleeding and then developed an infection. Spoke with sensor sales person and said that it was acceptable to access next day and there is no evidence of previous infections.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5082732
MDR Report Key8208545
Date Received2018-12-27
Date of Report2018-12-17
Date of Event2018-12-12
Date Added to Maude2019-01-02
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameGRAFT
Generic NameTISSUE GRAFT OF 6MM AND GREATER
Product CodeLXA
Date Received2018-12-27
Model NumberAG740
Catalog NumberAG740
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerARTEGRAFT, INC.
Manufacturer Address206 NORTH CENTER DR NORTH BRUNSWICK NJ 08902 US 08902


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2018-12-27

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