FLIXENE GRAFT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-23 for FLIXENE GRAFT manufactured by Atrium Medical Corporation.

Event Text Entries

[184433485] A complete investigation was not able to be performed as no product code, lot number or sample was provided. Per the study, the haemodialysis reliable outflow graft provides acceptable 12-month secondary patency rates and acceptable complication rates in a (b)(6) and (b)(6) multi-centre series of complex access patients. Product not available for return.
Patient Sequence No: 1, Text Type: N, H10


[184433486] Received an article titled: hunter, j. E. (2019). The united kingdom and ireland experience of the haemodialysis reliable outflow graft for vascular access. The journal of vascular access, pp. 12-18. Purpose: to describe the uk and ireland experience of the haemodialysis reliable outflow graft in complex vascular access. Method: data from any patient undergoing haemodialysis reliable outflow graft were collected from eight (b)(6) and one (b)(6) centre. Per the article deaths occurred within the study period.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011175548-2020-00437
MDR Report Key9864834
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-23
Date of Report2020-03-23
Date Mfgr Received2020-03-09
Date Added to Maude2020-03-23
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 Street40 CONTINENTAL BLVD
Manufacturer CityMERRIMACK NH 03054
Manufacturer CountryUS
Manufacturer Postal03054
Manufacturer G1ATRIUM MEDICAL CORPORATION
Manufacturer Street40 CONTINENTAL BLVD
Manufacturer CityMERRIMACK NH 03054
Manufacturer CountryUS
Manufacturer Postal Code03054
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLIXENE GRAFT
Generic NamePROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER
Product CodeDSY
Date Received2020-03-23
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerATRIUM MEDICAL CORPORATION
Manufacturer Address40 CONTINENTAL BLVD MERRIMACK NH 03054 US 03054


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2020-03-23

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