MAUDE MDR 89272

MDR report key
89272
Report number
6000002-1997-00389
Event key
0
Event type
3
Date of event
1969-12-31
Date received
1997-05-02
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Related Records

Manufacturer Contact

Report source
M
Manufacturer link flag
Y

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1EDWARDS PERICARDIAL PATCHPERICARDIAL PATCHBAXTER HEALTHCARE CORP. EDWARDS CVS DIV.MFX4700NA4I1180K833763NRN

Patients

SequenceReceivedTreatmentOutcome
11997-05-0201. R

Event Narratives

D

Patient 1

THIS EVNET WAS REPORTED AS ISCHEMIC VENTRICULAR SEPTAL DEFECT AND INFARCTION. NO FURTHER INFORMATION PROVIDED.

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