FDA Adverse Event Injury Summary report: N

AMPLATZER SEPTAL OCCLUDER

MDR report key: 19292537 · Received May 10, 2024

Report

Report Number
2135147-2024-02123
Event Type
Injury
Date Received
May 10, 2024
Date of Event
January 1, 2023
Report Date
June 4, 2024
Manufacturer
ABBOTT MEDICAL
Product Code
MLV
PMA / PMN Number
P000039
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS NOT YET COMPLETE. A FOLLOW-UP REPORT WILL BE SUBMITTED WITH ALL ADDITIONAL RELEVANT INFORMATION. LITERATURE ATTACHMENT: ARTICLE TITLE: AMPLATZER SEPTAL OCCLUDER

Additional Manufacturer Narrative · 0

AS REPORTED IN A RESEARCH ARTICLE, ABRASION FOR TREATMENT OF ATRIAL TACHYCARDIA EARLY AFTER PLACEMENT: ONE EXAMPLE OF SUCCESSFUL IMPLEMENTATION. A MORE COMPREHENSIVE ASSESSMENT COULD NOT BE PERFORMED AS THE EVENT WAS NON-CONTEMPORANEOUSLY REPORTED THROUGH A LITERATURE REVIEW AND NO DEVICE WAS RECEIVED FOR ANALYSIS. BASED ON THE INFORMATION RECEIVED, THE CAUSE OF THE REPORTED INCIDENT COULD NOT BE CONCLUSIVELY DETERMINED. LITERATURE ATTACHMENT: ARTICLE TITLE: ABRASION FOR TREATMENT OF ATRIAL TACHYCARDIA EARLY AFTER PLACEMENT: ONE EXAMPLE OF SUCCESSFUL IMPLEMENTATION.

Description of Event or Problem · 0

IT WAS REPORTED THAT ON AN UNKNOWN DATE, AN AMPLATZER SEPTAL OCCLUDER WAS IMPLANTED. EARLY IN THE POSTOPERATIVE PHASE, ATRIAL TACHYCARDIA WAS DETECTED ON ELECTROCARDIOGRAM (ECG). AN ABLATION WAS PERFORMED, AND THE TACHYCARDIA RESOLVED WITHOUT SEQUELAE.

Description of Event or Problem · 0

AN ARTICLE, "ABRASION FOR TREATMENT OF ATRIAL TACHYCARDIA EARLY AFTER PLACEMENT: ONE EXAMPLE OF SUCCESSFUL IMPLEMENTATION", WAS REVIEWED. IT WAS REPORTED THAT ON AN UNKNOWN DATE, AN AMPLATZER SEPTAL OCCLUDER WAS IMPLANTED. EARLY IN THE POSTOPERATIVE PHASE, ATRIAL TACHYCARDIA WAS DETECTED ON ELECTROCARDIOGRAM (ECG). AN ABLATION WAS PERFORMED, AND THE TACHYCARDIA RESOLVED WITHOUT SEQUELAE. NO ADDITIONAL INFORMATION WAS PROVIDED. [THE PRIMARY AND CORRESPONDING AUTHOR WAS KEI HIRAMATSU, NAGOYA UNIVERSITY GRADUATE SCHOOL OF MEDICINE].

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2519426 AMPLATZER SEPTAL OCCLUDER TRANSCATHETER SEPTAL OCCLUDER MLV ABBOTT MEDICAL

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention