FDA Adverse Event
Malfunction
Summary report: N
PENDITUR LAA EXCLUSION SYSTEM
MDR report key: 23244605
·
Received October 8, 2025
Report
- Report Number
- MW5176986
- Event Type
- Malfunction
- Date Received
- October 8, 2025
- Date of Event
- April 13, 2025
- Report Date
- October 2, 2025
- Manufacturer
- MEDTRONIC PERFUSION SYSTEMS
- Product Code
- PZX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- NURSE
- Health Professional
- *
Narratives
Description of Event or Problem · 0
TEE DEMONSTRATED FLOW INTO THE LEFT ATRIAL APPENDAGE AFTER LEFT ATRIAL APPENDAGE LIGATION CLIP WAS PLACED. AT TIME OF INSERTION, THE CLIP WAS PLACED AND THERE WAS NO FLOW INTO THE LEFT ATRIAL APPENDAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2509475 | PENDITUR LAA EXCLUSION SYSTEM | LEFT ATRIAL APPENDAGE CLIP, IMPLANTABLE | PZX | MEDTRONIC PERFUSION SYSTEMS | LAAC45 | T4J029X |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 76 YR | Male | Other |