FDA Adverse Event Death Summary report: N

CARPENTIER-EDWARDS PERIMOUNT MAGNA AORTIC BIOPROSTHESIS

MDR report key: 1033912 · Received April 24, 2008

Report

Report Number
6000002-2008-06602
Event Type
Death
Date Received
April 24, 2008
Date of Event
February 2, 2008
Report Date
March 25, 2008
Manufacturer
EDWARDS LIFESCIENCES
Product Code
LWR
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

DEVICE WAS NOT RETURNED.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENT EXPIRED IN 2008, DUE TO AN UNKNOWN REASON. NO OTHER DETAILS WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CARPENTIER-EDWARDS PERIMOUNT MAGNA AORTIC BIOPROSTHESIS REPLACEMENT HEART VALVE LWR EDWARDS LIFESCIENCES 3000TFX R-07K2096

Patients

Seq Age Sex Outcome Treatment
1 63 YR Death