BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CARDIOCEL INTRACARDIAC PATCH

    MDR report key: 10782322 · Received November 3, 2020

    Report

    Report Number
    3012664855-2020-00015
    Event Type
    Injury
    Date Received
    November 3, 2020
    Report Date
    September 13, 2020
    Manufacturer
    ADMEDUS REGEN PTY LTD
    Product Code
    DXZ
    PMA / PMN Number
    K130872
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GM
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    PROCEDURE REQUIRED ASK, BAFFLE PATCH SENNING, FOLLOWUP CARDIOLOGIST NOTICED THAT A LONG TRACK OF THE PULMONARY ARTERY WAS STENOTIC.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1241165 CARDIOCEL INTRACARDIAC PATCH INTRACARDIAC PATCH DXZ ADMEDUS REGEN PTY LTD C0404

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention