UNKNOWN BIOPSY FORCEPS UNK-BIOPSYFORCEPS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a literature report with the FDA on 2019-04-03 for UNKNOWN BIOPSY FORCEPS UNK-BIOPSYFORCEPS manufactured by Cordis Corporation.

Event Text Entries

[140768472] This article was found during a recent literature search of this device. Please note that patient specific details (demographics, medical history, and reason for intervention) are not available. The device is cordis biopsy forceps but the catalog and lot numbers are not available. A copy of the publication is attached to this report. The citation is as follows: amitai et al. , (2007). Comparison of three-dimensional echocardiography to two-dimensional echocardiography and fluoroscopy for monitoring of endomyocardial biopsy. The american journal of cardiology. Am j cardiol;99:64? 866 doi:10. 1016/j. Amjcard. 2006. 10. 050. As reported in the literature article by amitai et al. , (2007). Comparison of three-dimensional echocardiography to two-dimensional echocardiography and fluoroscopy for monitoring of endomyocardial biopsy. The american journal of cardiology. Am j cardiol;99:64? 866 doi:10. 1016/j. Amjcard. 2006. 10. 050; during an endomyocardial biopsy (emb) procedure using cordis disposable bioptomes, one clinical complication occurred with documented perforation. The device was not returned for analysis. Additionally, as the sterile lot number was not available, device history record (dhr) reviews could not be performed. Given the limited information provided, the reported event? Perforation? Could not be confirmed and the exact root cause could not be determined. According to the instructions for use (ifu), procedures requiring biopsy forceps should not be attempted by physicians unfamiliar with the possible complications. Complications may occur at any time during or after the procedure and are listed on the ifu. Possible complications include but are not limited to; hematoma at the puncture site, infection, perforation of the vessel wall or the myocardium, vessel trauma, embolism, and death. Vessel characteristics and procedural/handling factors may have contributed to the reported event. Without a lot number to conduct a dhr review, it is not possible to determine if the reported failure could be related to the manufacturing process. Therefore, no preventative or corrective actions will be taken at this time.
Patient Sequence No: 1, Text Type: N, H10


[140768473] As reported in the literature article by amitai et al. , (2007). Comparison of three-dimensional echocardiography to two-dimensional echocardiography and fluoroscopy for monitoring of endomyocardial biopsy. The american journal of cardiology. Am j cardiol;99:64? 866 doi:10. 1016/j. Amjcard. 2006. 10. 050; during an endomyocardial biopsy (emb) procedure using cordis disposable bioptomes, one clinical complication occurred with documented perforation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1016427-2019-02680
MDR Report Key8478099
Report SourceLITERATURE
Date Received2019-04-03
Date of Report2019-04-03
Date of Event2007-01-01
Date Mfgr Received2019-03-07
Date Added to Maude2019-04-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactKARLA CASTRO
Manufacturer Street14201 NW 60TH AVE
Manufacturer CityMIAMI LAKES FL 33014
Manufacturer CountryUS
Manufacturer Postal33014
Manufacturer Phone7863138372
Manufacturer G1CORDIS CORPORATION
Manufacturer Street14201 NW 60TH AVE
Manufacturer CityMIAMI LAKES FL 33014
Manufacturer CountryUS
Manufacturer Postal Code33014
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN BIOPSY FORCEPS
Generic NameDEVICE, BIOPSY, ENDOMYOCARDIAL
Product CodeDWZ
Date Received2019-04-03
Catalog NumberUNK-BIOPSYFORCEPS
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCORDIS CORPORATION
Manufacturer Address14201 NW 60 AVENUE MIAMI LAKES FL 33014 US 33014


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening 2019-04-03

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