AMPLATZER SEPTAL OCCLUDER

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 2020-03-18 for AMPLATZER SEPTAL OCCLUDER manufactured by Aga Medical Corporation.

Event Text Entries

[184069440] As reported in a research article, 245 patients were implanted with amplatzer septal occluder and complications during or after the procedure including two patients which had the device embolize, three where the device migrated, eleven patients had a residual shun and four patients had a transient ischemic attack and stroke. The results of the investigation are inconclusive since the device was not returned for analysis. Based on the information received, the cause of the reported incident could not be conclusively determined.
Patient Sequence No: 1, Text Type: N, H10


[184069441] It was reported through a research article identifying amplatzer septal occluders that may be related to a complications post procedure. Details are listed in the article, titled "transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: a single-center experience. " between january 2011 and may 2019, amplatzer septal occluders were implanted in 245 patients. The median age was 39, with 180 of them being women. The patients had the following comorbidities: atrial fibrillation, transient ischemic attack (tia), stroke, lung disease, hypertension, coronary artery disease, and diabetes. Complications during and post procedure includes: residual shunt (11), device migration (3), device embolization (2), tia and stroke (4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2135147-2020-00118
MDR Report Key9850642
Report SourceFOREIGN,HEALTH PROFESSIONAL,L
Date Received2020-03-18
Date of Report2020-03-18
Date Mfgr Received2020-02-20
Date Added to Maude2020-03-18
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 ContactPAMELA YIP
Manufacturer Street5050 NATHAN LANE N
Manufacturer CityPLYMOUTH MN 55442
Manufacturer CountryUS
Manufacturer Postal55442
Manufacturer Phone6517565400
Manufacturer G1AGA MEDICAL CORPORATION
Manufacturer Street5050 NATHAN LANE NORTH
Manufacturer CityPLYMOUTH MN 55442
Manufacturer CountryUS
Manufacturer Postal Code55442
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameAMPLATZER SEPTAL OCCLUDER
Generic NameTRANSCATHETER SEPTAL OCCLUDER
Product CodeMLV
Date Received2020-03-18
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerAGA MEDICAL CORPORATION
Manufacturer Address5050 NATHAN LANE NORTH PLYMOUTH MN 55442 US 55442


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2020-03-18

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