BEUDAMED
    FDA Adverse Event Death Summary report: N

    EDWARDS MC3 TRICUSPID ANNULOPLASTY SYSTEM

    MDR report key: 1050146 · Received May 19, 2008

    Report

    Report Number
    6000002-2008-07253
    Event Type
    Death
    Date Received
    May 19, 2008
    Report Date
    April 17, 2008
    Manufacturer
    EDWARDS LIFESCIENCES
    Product Code
    KRH
    PMA / PMN Number
    K020864
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    BE
    Reporter Occupation
    PHYSICIAN

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE NOT RETURNED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE PT EXPIRED DUE TO UNK REASONS. DATE OF DEATH IS UNK AND IMPLANT DURATION ARE UNK. NO FURTHER DETAILS WERE PROVIDED. INFO LEARNED IMPLANT PT REGISTRY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EDWARDS MC3 TRICUSPID ANNULOPLASTY SYSTEM ANNULOPLASTY RING KRH EDWARDS LIFESCIENCES 4900 R-07D0816

    Patients

    Seq Age Sex Outcome Treatment
    1 Death