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 |