FDA Adverse Event Injury Summary report: N

CARDIOCEL

MDR report key: 10782290 · Received November 3, 2020

Report

Report Number
3012664855-2020-00002
Event Type
Injury
Date Received
November 3, 2020
Manufacturer
ADMEDUS REGEN PTY LTD
Product Code
DXZ
PMA / PMN Number
K130872
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

MV STENOSIS, AV STENOSIS AND INSUFFICIENCY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1241545 CARDIOCEL INTRACARDIAC PATCH DXZ ADMEDUS REGEN PTY LTD

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention