PROPLEGE CORONARY SINUS CATHETER MODEL PR9

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,l report with the FDA on 2020-03-09 for PROPLEGE CORONARY SINUS CATHETER MODEL PR9 manufactured by Edwards Lifesciences.

Event Text Entries

[188464226] Article "improved patient recovery with minimally invasive aortic valve surgery: a propensity-matched study" in innovations 00(0)1-9 doi: 10. 1177/1556984519868715. Vascular perforations may occur with the use of several of our devices. A perforation is typically the result of excessive force combined with challenging anatomy and not a malfunction of the device. In this case attempts to retrieve additional information and the device is in process. If additional information is received a supplemental mdr will submitted. The device has not been returned to edwards for evaluation. The device history record (dhr) review could not be performed as the lot number is unknown. The cause of the event remains indeterminable. Edwards will continue to review and monitor all events. Trends are monitored on a monthly basis and if action is required, appropriate investigation will be performed.
Patient Sequence No: 1, Text Type: N, H10


[188464227] Through review of medical article "improved patient recovery with minimally invasive aortic valve surgery: a propensity-matched study", the following event was identified as pertaining to an edwards device: during a case of aortic valve replacement performed in upper ministernotomy (miavr) emergency conversion to full sternotomy was required in a patient due to a rupture of the coronary sinus during positioning of a peripheral retrograde cardioplegia device.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3008500478-2020-00191
MDR Report Key9806588
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2020-03-09
Date of Report2020-02-13
Date of Event2014-01-01
Date Mfgr Received2020-03-02
Date Added to Maude2020-03-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. AMRITHA SRINIVASAN
Manufacturer StreetONE EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal92614
Manufacturer Phone9492504062
Manufacturer G1EDWARDS LIFESCIENCES LLC
Manufacturer StreetONE EDWARDS WAY
Manufacturer CityIRVINE CA 92614
Manufacturer CountryUS
Manufacturer Postal Code92614
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NamePROPLEGE CORONARY SINUS CATHETER MODEL PR9
Generic NameCATHETER, CANNULA AND TUBING, VASCULAR, CARDIOPULMONARY BYPASS
Product CodeDWF
Date Received2020-03-09
Model NumberPR9
Catalog NumberPR9
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerEDWARDS LIFESCIENCES
Manufacturer AddressONE EDWARDS WAY IRVINE CA 92614 US 92614


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening 2020-03-09

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