FDA Adverse Event Other Summary report: N

BG3000-G-UNKNOWN CONFIGURATION

MDR report key: 1003518 · Received February 18, 2008

Report

Report Number
1063481-2008-00004
Event Type
Other
Date Received
February 18, 2008
Report Date
February 13, 2008
Manufacturer
CRYOLIFE, INC.
Product Code
MFI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ACCORDING TO THE JOURNAL ARTICLE, "CUSTOM-TAILORED VALVE CONDUIT FOR COMPLEX AORTIC ROOT DISEASE", THE DESTRUCTION OF THE AORTIC ANNULUS WAS DUE TO THE REMOTE APPLICATION OF BIOGLUE DURING AORTIC ROOT REPLACEMENT IN TWO PATIENTS. AS SUCH, AN INVESTIGATION WAS CONDUCTED AND CRYOLIFE'S FINDINGS ARE DESCRIBED BELOW. CORRESPONDENCE BETWEEN THE AUTHOR OF THE ARTICLE AND CRYOLIFE WAS CONDUCTED. THE TWO PATIENTS UNDERWENT PREVIOUS PROCEDURES WHERE BIOGLUE WAS USED TO CONTROL BLEEDING BETWEEN THE GRAFT AND THE AORTIC ANNULUS IN A ROOT REPLACEMENT PROCEDURE. THE AUTHOR STATED THAT THE JOURNAL ARTICLE " HAS NOTHING TO DO WITH CRYOLIFE" AND THAT HE " HAS NEVER USED BIOGLUE". WITH THE AVAILABLE INFO, NO CONCLUSION REGARDING THE EXACT CAUSE OF THE EVENT CAN BE DRAWN AT THIS TIME. HOWEVER, IT APPEARS THAT THE SURGEON REMOVED THE TISSUE WHERE BIOGLUE WAS PREVIOUSLY APPLIED TO ALLOW FOR THE PLACEMENT OF A NEW GRAFT AND NOT DUE TO BIOGLUE DESTROYING THE AORTIC ANNULUS.

Description of Event or Problem · 1

ACCORDING TO THE JOURNAL ARTICLE, "CUSTOM-TAILORED VALVE CONDUIT FOR COMPLEX AORTIC ROOT DISEASE", THE DESTRUCTION OF THE AORTIC WAS DUE TO THE REMOTE APPLICATION OF BIOGLUE DURING AORTIC ROOT REPLACEMENT IN TWO PATIENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BG3000-G-UNKNOWN CONFIGURATION BIOGLUE SURGICAL ADHESIVE MFI CRYOLIFE, INC. BG UNK

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention