FDA Adverse Event Injury Summary report: N

AMPLATZER AMULET

MDR report key: 25048513 · Received April 30, 2026

Report

Report Number
2135147-2026-02879
Event Type
Injury
Date Received
April 30, 2026
Date of Event
December 13, 2022
Report Date
April 30, 2026
Manufacturer
ABBOTT MEDICAL
Product Code
NGV
PMA / PMN Number
P200049
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

ONE PERICARDITIS EVENTS WERE REPORTED IN THE CURRENT REPORTING PERIOD. A MORE COMPREHENSIVE ASSESSMENT COULD NOT BE PERFORMED AS LIMITED INFORMATION WAS PROVIDED INCLUDING THAT THE DEVICE WAS NOT RETURNED FOR ANALYSIS. BASED ON THE LIMITED INFORMATION RECEIVED, THE CAUSE OF THE REPORTED INCIDENT COULD NOT BE CONCLUSIVELY DETERMINED. HOWEVER, RISK ASSESSMENT WAS COMPLETED FOR THE REPORTED INCIDENTS 69 OUT OF 12,215 (0.56%) SUBJECTS EXPERIENCED PERICARDITIS SINCE THE BEGINNING OF THE REGISTRY. THE ADVERSE EVENTS AND RATES REPORTED IN THIS STUDY WERE FOUND TO BE ANTICIPATED IN THE STUDY POPULATION AND ARE IN ALIGNMENT WITH RATES OBSERVED IN OTHER CLINICAL STUDIES. NO NEW RISKS HAVE BEEN IDENTIFIED FOR THIS POPULATION. NO NEW HAZARDS OR HARMS WERE IDENTIFIED THAT WOULD IMPACT THE BENEFIT/RISK PROFILE. BASED ON A REVIEW OF THE AVAILABLE INFORMATION, THERE WAS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH REGARDS TO MANUFACTURE, DESIGN, OR LABELING. THEREFORE, NO REMEDIAL ACTION IS REQUIRED AT THIS TIME. THIS REPORT IS FOR QUARTER 1 TIMEFRAME BETWEEN 01 JANUARY 2026 - 31 MARCH 2026. D4. PRIMARY UDI NUMBER: THE UDI NUMBER IS NOT KNOWN AS THE PART AND LOT NUMBER WERE NOT PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED THROUGH AMULET LAAO REGISTRY DATA THAT AMPLATZER AMULET DEVICES MAY BE RELATED TO 1 PERICARDITIS ADVERSE EVENTS WHICH IS CONSIDERED SERIOUS INJURY. THE RELATIONSHIP OF THE ADVERSE EVENTS TO THE AMPLATZER AMULET DEVICES COULD NOT BE DETERMINED BASED ON THE LIMITED DATA RECEIVED FROM THE REGISTRY. AMULET LAAO REGISTRY DATA IS REPORTED AS A SUMMARY PER SUMMARY REPORTING EXEMPTION APPROVAL NUMBER - GEN2201026. THE DATA RECEIVED INDICATED THAT THE PROCEDURE DATE WAS 14 NOVEMBER 2023. PATIENT WAS 83 YEARS OLD. PATIENT WAS A MALE THIS REPORT IS FOR QUARTER 1 TIMEFRAME BETWEEN 01 JANUARY 2026 - 31 MARCH 2026. AS OF 20 MARCH 2026, 12,215 PATIENTS WERE TREATED WITH THE AMULET DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
325563 AMPLATZER AMULET CARDIAC PLUG NGV ABBOTT MEDICAL UNK AMPLATZER AMULET

Patients

Seq Age Sex Outcome Treatment
1 83 YR Male Other