FDA Adverse Event
Other
Summary report: N
CARPENTIER-EDWARDS BIOPROSTHESIS
MDR report key: 116523
·
Received August 22, 1997
Report
- Report Number
- 6000002-1997-00691
- Event Type
- Other
- Date Received
- August 22, 1997
- Date of Event
- July 23, 1997
- Report Date
- July 24, 1997
- Manufacturer
- BAXTER HEALTHCARE CORP. EDWARDS CVS DIV.
- Product Code
- LWR
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Description of Event or Problem · 1
THIS EVENT WAS REPORTED AS SURGICAL INTERVENTION AT IMPLANT FOR A PARAVALVULAR LEAK. NO FURTHER INFO WAS PROVIDED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CARPENTIER-EDWARDS BIOPROSTHESIS Implant | REPLACEMENT HEART VALVE | LWR | BAXTER HEALTHCARE CORP. EDWARDS CVS DIV. | 6625 | 7C0224 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 84 YR | Required Intervention |