FDA Adverse Event Injury Summary report: N

COSGROVE-EDWARDS ANNULOPLASTY SYSTEM WITH DURAFLO TREATMENT

MDR report key: 1062584 · Received June 17, 2008

Report

Report Number
6000002-2008-07600
Event Type
Injury
Date Received
June 17, 2008
Date of Event
April 25, 2008
Report Date
May 20, 2008
Manufacturer
EDWARDS LIFESCIENCES
Product Code
KRH
PMA / PMN Number
K980487
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, 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 DUE TO UNKNOWN REASONS. IMPLANT DURATION ZERO DAYS. NO FURTHER DETAILS WERE PROVIDED. INFO LEARNED FROM IMPLANT PT REGISTRY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COSGROVE-EDWARDS ANNULOPLASTY SYSTEM WITH DURAFLO TREATMENT ANNULOPLASTY RING KRH EDWARDS LIFESCIENCES 4625 R-08B0345

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention