VALVE IN CARTRIDGE, 9MM SVS-V9-00

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-17 for VALVE IN CARTRIDGE, 9MM SVS-V9-00 manufactured by Spiration.

Event Text Entries

[145474268] As noted above, the physician indicated that the patient death was definitely not related to the valve. But because he said it could possible be related to the bronchoscopic lung volume reduction (blvr) procedure, spiration has chosen to report this event. Note that the product code for this use of the spiration valve is njk, pulmonary valve to improve lung function in patients with emphysema. Device not returned; ae not dev related.
Patient Sequence No: 1, Text Type: N, H10


[145474269] A (b)(6) year old female with advanced emphysema had three valves placed? Two 9mm and one 7mm. The patient had a history of chronic cardiomyopathy, systolic heart failure, atrial flutter, cad and tia in the past without any residual deficits. She had severe but stable right internal carotid artery occlusion and disease. Patient was evaluated by her cardiologist and had a workup prior to procedure that included a rhc and stress tests plus echo and deemed ok for procedure. She was on plavix which was held for the procedure and only after clearance from her cardiologist that we could safely hold it before and after the procedure. She had afib the 2nd day post-procedure that was rate controlled with lopressor. She was placed back on plavix and asa with follow-up by her cardiologist 3 days post-procedure. Per cardiologist she felt much better breathing wise and looked terrific and was going to do a tee and elective cardioversion. He wanted to add another oral anticoagulant to her regime. Dr. (b)(6)? S office learned three days later (6 days post-procedure) that the patient had a stroke and died. Dr. (b)(6) said the death was definitely not related to the valve but that it could possibly be related to the bronchoscopy procedure.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004450998-2019-00006
MDR Report Key8622043
Date Received2019-05-17
Date of Report2019-05-17
Date Mfgr Received2019-04-18
Date Added to Maude2019-05-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCYNDY ADAMS
Manufacturer Street6675 185TH AVE NE
Manufacturer CityREDMOND WA 98052
Manufacturer CountryUS
Manufacturer Postal98052
Manufacturer Phone4256365450
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameVALVE IN CARTRIDGE, 9MM
Generic NameSPIRATION VALVE
Product CodeOAZ
Date Received2019-05-17
Model NumberSVS-V9-00
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSPIRATION
Manufacturer Address6675 185TH AVENUE NE, REDMOND WA 98052 US 98052


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2019-05-17

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