AMPLATZER VASCULAR PLUG II 9-AVP2

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-20 for AMPLATZER VASCULAR PLUG II 9-AVP2 manufactured by Aga Medical Corporation.

Event Text Entries

[184371969] As reported in a research article, an amplatzer vascular plug ii was implanted off label to close a paravalular leak. 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. Please note, per the instructions for use, artmt600539-003 revision a "the safety and effectiveness of this device for cardiac uses (for example, patent ductus arteriosus or paravalular leak closures) and neurological uses have not been established"
Patient Sequence No: 1, Text Type: N, H10


[184371970] It was reported through a research article identifying amplatzer vascular plugs that may be related to a complications post procedure. Details are listed in the article, titled "elective percutaneous paravalvular leak closure under conscious sedation: procedural techniques and clinical outcomes. " it was reported in the article that from january 2013 to april 2018, a total of 37 patients had paravalvular (pvl) repaired using the amplatzer vascular plug. The patients have an average age of 69 years old. 17 of the patients were male. The patients have a history of coronary artery disease, peripheral artery disease, cerebrovascular accident, hypertension, hyperlipidemia, diabetes, atrial fibrillation, chronic obstructive pulmonary disease, liver disease, and renal disease. All procedures were guided by transesophageal echocardiography (tee) under conscious sedation. A total of 54 pvls were repaired. Short term mortality during the first 30 days was 5. 4% (2 patients).
Patient Sequence No: 1, Text Type: D, B5


[184391958] Reference manufacturer report number 2135147-2020-00132. It was reported through a research article identifying amplatzer vascular plugs that may be related to a complications post procedure. Details are listed in the article, titled "elective percutaneous paravalvular leak closure under conscious sedation: procedural techniques and clinical outcomes. " it was reported in the article that from january 2013 to april 2018, a total of 37 patients had paravalvular (pvl) repaired using the amplatzer vascular plug. The patients have an average age of (b)(6) years old. 17 of the patients were male. The patients have a history of coronary artery disease, peripheral artery disease, cerebrovascular accident, hypertension, hyperlipidemia, diabetes, atrial fibrillation, chronic obstructive pulmonary disease, liver disease, and renal disease. All procedures were guided by transesophageal echocardiography (tee) under conscious sedation. A total of 10 pvls were not repaired with procedural success and had residual shunt.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2135147-2020-00131
MDR Report Key9862927
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-20
Date of Report2020-03-20
Date Mfgr Received2020-03-20
Date Added to Maude2020-03-20
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 VASCULAR PLUG II
Generic NameDEVICE, VASCULAR, FOR PROMOTING EMBOLIZATION
Product CodeKRD
Date Received2020-03-20
Model Number9-AVP2
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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. Death; 2. Required No Informationntervention 2020-03-20

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