MITRACLIP? SYSTEM CLIP DELIVERY SYSTEM UNK CDS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a literature report with the FDA on 2020-03-30 for MITRACLIP? SYSTEM CLIP DELIVERY SYSTEM UNK CDS manufactured by Abbott Vascular.

Event Text Entries

[188561104] Event dates estimated. The device was not returned for analysis. A review of the lot history record could not be performed due to unknown lot information. The reported patient effects of inflammation and mitral regurgitation as listed in the mitraclip system instructions for use are known possible complications associated with mitraclip procedures. Based on the information reviewed, a conclusive cause for the reported patient effects cannot be determined. There is no indication of a product issue with respect to manufacture, design, or labeling. Literature attached: mitral valve surgery after mitraclip implantation: what histopathology can tell us? No additional information was provided.
Patient Sequence No: 1, Text Type: N, H10


[188561105] This is being filed to report the recurrent mr and inflammation requiring surgical intervention. It was reported through a research article identifying mitraclip that maybe related to the following: mitral regurgitation, inflammation, surgical procedure, and hospitalization. It was reported that this was a mitraclip procedure to treat functional mitral regurgitation (mr). Two clips were implanted with good post-interventional results. One year post implant, severe residual mr was noted therefore the patient was sent for surgical removal of the mitraclips devices. Upon examination, the mitraclip devices were intact however significant inflammatory reactions were seen in the surrounding tissue. Details are listed in the attached article titled: mitral valve surgery after mitraclip implantation: what histopathology can tell us? No additional information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-03063
MDR Report Key9897006
Report SourceLITERATURE
Date Received2020-03-30
Date of Report2020-03-30
Date of Event2020-03-01
Date Mfgr Received2020-03-10
Date Added to Maude2020-03-30
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. LINDSEY BELL
Manufacturer Street26531 YNEZ RD.
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal925914628
Manufacturer Phone9519143996
Manufacturer G1ABBOTT VASCULAR, REG # 3005070406
Manufacturer Street3885 BOHANNON DRIVE
Manufacturer CityMENLO PARK CA 94025
Manufacturer CountryUS
Manufacturer Postal Code94025
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMITRACLIP? SYSTEM CLIP DELIVERY SYSTEM
Generic NameVALVE REPAIR
Product CodeNKM
Date Received2020-03-30
Catalog NumberUNK CDS
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT VASCULAR
Manufacturer Address26531 YNEZ RD. TEMECULA CA 925914628 US 925914628


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention; 3. Deathisabilit 2020-03-30

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