FDA Adverse Event Injury Summary report: N

ELUPRO ANTIBIOTIC-ELUTING BIOENVELOPE

MDR report key: 22911269 · Received August 28, 2025

Report

Report Number
3005619880-2025-00009
Event Type
Injury
Date Received
August 28, 2025
Date of Event
March 5, 2025
Report Date
August 28, 2025
Manufacturer
ELUTIA INC.
Product Code
FTM
UDI-DI
00859389005331
PMA / PMN Number
K233991
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

IT IS NOTED THAT PER THE INSTRUCTIONS FOR USE (IFU - ART20837 REV. A, IFU ELUPRO ANTIBIOTIC-ELUTING BIOENVELOPE) PROVIDED WITH THE FINISHED ELUPRO DEVICE, "INFECTION" IS LISTED WITHIN THE POTENTIAL COMPLICATIONS ASSOCIATED WITH DEVICE USAGE. INFECTION IS A KNOWN COMPLICATION WITH THE IMPLANT OF A CARDIAC IMPLANTABLE DEVICE.

Description of Event or Problem · 0

EMAIL WAS RECEIVED FROM AN ELUTIA SALES REPRESENTATIVE REGARDING A PATIENT ADVERSE EVENT. IT WAS REPORTED THAT, THE PATIENT HAD A POCKET REVISION WITH A CRTD BIV PACEMAKER IMPLANT ON (B)(6) 2025 ALONG WITH THE IMPLANT OF A MEDIUM ELUPRO ANTIBIOTIC-ELUTING BIOENVELOPE (MODEL - CMCV-124-MED, LOT NUMBER - UNKNOWN). THE SALES REPRESENTATIVE NOTED THAT THE PATIENT HAD AN INFECTION ON (B)(6) 2025. THE DEVICE WAS REMOVED ON (B)(6) 2025 AND A NEW DEVICE WAS IMPLANTED ON (B)(6) 2025. ON (B)(6) 2025, THE PHYSICIAN CONFIRMED THAT THE ELUPRO DEVICE WAS NOT THE CAUSE OF THE INFECTION. NO FURTHER INFORMATION REGARDING THIS EVENT IWAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1834101 ELUPRO ANTIBIOTIC-ELUTING BIOENVELOPE CANGAROO RM ANTIBACTERIAL ENVELOPE FTM ELUTIA INC. CMCV-124-MED 00859389005331

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention| O