FDA Adverse Event Injury Summary report: N

CARPENTIER-EDWARDS PERIMOUNT PLUS PERICARDIAL BIOPROSTHESIS

MDR report key: 1013134 · Received March 12, 2008

Report

Report Number
6000002-2008-06190
Event Type
Injury
Date Received
March 12, 2008
Date of Event
February 14, 2008
Report Date
February 18, 2008
Manufacturer
EDWARDS LIFESCIENCES
Product Code
LWR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

REPORTEDLY, AFTER 4 DAYS AND DIFFICULTY TAKING OFF OF BYPASS DUE TO PULMONARY HYPERTENSION, TEE ON THE FOURTH DAY SHOWED SEVERE MITRAL REGURGE AND DEVICE WAS EXPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARPENTIER-EDWARDS PERIMOUNT PLUS PERICARDIAL BIOPROSTHESIS REPLACEMENT HEART VALVE LWR EDWARDS LIFESCIENCES 6900P UNK

Patients

Seq Age Sex Outcome Treatment
1 56 YR Required Intervention