BEUDAMED
    FDA Adverse Event Injury Summary report: N

    COSGROVE-EDWARDS ANNULOPLASTY SYSTEM

    MDR report key: 1060467 · Received June 13, 2008

    Report

    Report Number
    6000002-2008-07567
    Event Type
    Injury
    Date Received
    June 13, 2008
    Date of Event
    May 13, 2008
    Report Date
    June 11, 2008
    Manufacturer
    EDWARDS LIFESCIENCES
    Product Code
    KRH
    PMA / PMN Number
    K923367
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    DEVICE NOT RETURNED.

    Description of Event or Problem · 1

    IT WAS REPORTED THAT THE DEVICE WAS EXPLANTED IN 2008 AFTER A 90 MONTH IMPLANT DURATION DUE TO AN UNK REASON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 COSGROVE-EDWARDS ANNULOPLASTY SYSTEM ANNULOPLASTY SYSTEM KRH EDWARDS LIFESCIENCES 460 0G0965

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Required Intervention