FDA Adverse Event Other Summary report: N

AORTIC VALVE AND CONDUIT

MDR report key: 1669625 · Received April 16, 2010

Report

Report Number
1063481-2010-00009
Event Type
Other
Date Received
April 16, 2010
Date of Event
March 22, 2010
Report Date
April 16, 2010
Manufacturer
CRYOLIFE, INC.
Product Code
MIE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN ASSISTANT

Narratives

Additional Manufacturer Narrative · 1

THIS INVESTIGATION IS CURRENTLY ONGOING. ANY ADDITIONAL INFORMATION WILL BE PROVIDED IN THE FOLLOW-UP REPORT.

Description of Event or Problem · 1

ACCORDING TO THE REPORT, THE SYNERGRAFT AORTIC VALVE AND CONDUIT WAS EXPLANTED EIGHT YEARS POST-OPERATIVELY. THE REASON FOR EXPLANT WAS NOT REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 AORTIC VALVE AND CONDUIT HEART VALVE ALLOGRAFT MIE CRYOLIFE, INC. AV00

Patients

Seq Age Sex Outcome Treatment
1 Other