ZEPHYR ENDOBRONCHIAL VALVE (EBV) ZEPHYR 4.0 EBV EBV-TS-4.0

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 2020-03-25 for ZEPHYR ENDOBRONCHIAL VALVE (EBV) ZEPHYR 4.0 EBV EBV-TS-4.0 manufactured by Pulmonx Corporation.

Event Text Entries

[186510856] Decreased oxygen saturation is an anticipated, potential side effect associated with the zephyr valve treatment (criner et al. A multicenter randomized controlled trial of zephyr endobronchial valve treatment in heterogeneous emphysema (liberate). Am j respir crit care med. 2018; 198 (9): 1151-1164). In the liberate study (ide clinical study used to support pma p180002's approval), 0. 8% of the zephyr valve subjects experienced decreased oxygen saturation during the treatment period ([less than or equal to 45 days). The reported event aligns with the experience observed in the liberate clinical study and is an anticipated, potential side effect to the zephyr valve treatment. The reported event was foreseeable and clinically acceptable in view of the expected patient benefit from the treatment.
Patient Sequence No: 1, Text Type: N, H10


[186510857] On (b)(6) 2020 the patient had zephyr valves implanted. The patient required maximum oxygen in recovery and o2 saturation was 86. After a few hours of observation, the o2 saturation remained low. The decision was made to explant all zephyr valves. Once the valves were removed, the o2 saturation was 97 on maximum oxygen. The patient was admitted overnight for observation and discharged on (b)(6) 2020.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3007797756-2020-00075
MDR Report Key9880153
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-02-24
Date Mfgr Received2020-02-24
Device Manufacturer Date2019-12-04
Date Added to Maude2020-03-25
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. LELAND KEYT
Manufacturer Street700 CHESAPEAKE DRIVE
Manufacturer CityREDWOOD CITY, CA
Manufacturer CountryUS
Manufacturer Phone2160144
Single Use3
Remedial ActionPM
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameZEPHYR ENDOBRONCHIAL VALVE (EBV)
Generic NameENDOBRONCHIAL VALVE
Product CodeNJK
Date Received2020-03-25
Model NumberZEPHYR 4.0 EBV
Catalog NumberEBV-TS-4.0
Lot Number504656-V7.0
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerPULMONX CORPORATION
Manufacturer Address700 CHESAPEAKE DRIVE REDWOOD CITY, CA US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Required No Informationntervention 2020-03-25

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