FDA Adverse Event Injury Summary report: N

PERICROSS EPICARDIAL ACCESS KIT

MDR report key: 24607285 · Received March 16, 2026

Report

Report Number
3009437315-2026-00001
Event Type
Injury
Date Received
March 16, 2026
Date of Event
December 1, 2025
Report Date
March 16, 2026
Manufacturer
CIRCA SCIENTIFIC, INC.
Product Code
DYB
UDI-DI
10851498007395
PMA / PMN Number
K243954
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

HOSPITAL DID NOT REPORT THIS EVENT AT THE TIME IT OCCURRED,, THERE WAS NO ALLEGED PRODUCT DEFICIENCY.

Description of Event or Problem · 0

THERE WAS A RIGHT VENTRICULAR PERFORATION WITH THE PERICROSS OBTURATOR. PHYSICIAN USED AN AMPLATZER VASCULAR PLUG TO CLOSE THE PERFORATION. PROCEDURE PROCEEDED SUCCESSFULLY GAINING PERICARDIAL ACCESS USING THE PERICROSS DEVICE. PATIENT WAS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
610734 PERICROSS EPICARDIAL ACCESS KIT CATHETER INTRODUCER DYB CIRCA SCIENTIFIC, INC. PC-1013 UNKNOWN 10851498007395

Patients

Seq Age Sex Outcome Treatment
1