FDA Adverse Event Injury Summary report: N

FOCALSEAL-L SYNTHETIC ABSORBABLE SEALANT

MDR report key: 405770 · Received July 16, 2002

Report

Report Number
1225741-2002-00003
Event Type
Injury
Date Received
July 16, 2002
Date of Event
April 18, 2002
Report Date
July 16, 2002
Manufacturer
GENZYME BIOSURGERY
Product Code
FTL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

MYOCARDIAL INFARCTIONS (MI). IN 2002, THIS PATIENT WAS REFERRED FOR HIGH-RISK BYPASS SURGERY FOR THREE-VESSEL CORONARY ARTERY DISEASE AND AN EJECTION FRACTION OF 40%. THE PATIENT UNDERWENT BYPASS SURGERY WITH LEFT INTERNAL MAMMARY ARTERY PLACED TO THE LAD AND SEQUENTIAL GRAFT TO TWO OBTUSE MARGINALS, WHICH WAS THEN PLACED TO THE SIDE OF THE LEFT INTERNAL MAMMARY ARTERY. FOCALSEAL L WAS APPLIED ON 3 DISTAL ANASTOMOSES AND 1 PROXIMAL ANASTOMOSIS TO THE LEFT INTERNAL MAMMARY ARTERY BED, AND TO THE HEART SURFACE IN AN AREA WHERE THE DISSECTION OCCURRED. THE PATIENT'S POST OPERATIVE COURSE WAS UNEVENTFUL AND PT WAS DISCHARGED 3 DAYS LATER. THE PATIENT EXPERIENCED WEAKNESS AND LOSS OF APPETITE SINCE THEIR DISCHARGE AND 17 DAYS POST DISCHARGE, THE PATIENT WAS ADMITTED TO THE EMERGENCY ROOM WITH AN ABNORMAL EKF, RAPID ATRIAL FIBRILLATION, MILD HEART FAILURE AND EVIDENCE OF RECENT ANTERIOR MYOCARDIAL INFARCTION OF UNKNOWN DURATION. ENYZMES FROM LAB WORK WERE NEGATIVE. DURING THE PT'S RE-HOSPITALIZATION, CARDIAC CATHETERIZAITON DEMONSTRATED AN EJECTION FRACTION OF 15-20% WITH AN EXTENSIVE ANTEROAPICAL WALL MOTION ABNORMALITY. THE RIGHT CORONARY ARTERY HAD NO SIGNIFICANT DISEASE. PT'S LEFT INTERNAL MAMMARY ARTERY WAS PATENT BUT WAS OCCLUDED DISTAL TO THE ANASTOMOSIS OF THE LAD. IT WAS ELECTED TO TREAT THE PATIENT MEDICALLY. THE PATIENT WAS DISCHARGED IN GOOD CONDITION 8 DAYS LATER. THE PATIENT WAS LAST SEEN ON 06/2002 AND FOUND TO BE DOING MUCH BETTER. THE REPORTING PHYSICIAN ASSESSED THE EVENT AS POSSIBLY RELATED TO THE USE OF THE PRODUCT. FOCALSEAL APPLICATOR KIT PART # FA1645 L/N 0110617 WAS USED TO APPLY THE FOCALSEAL L. MANUFACTURE DATE OF THE APPLICATOR KIT WAS NOV-2001, EXPIRATION SEPT-2003.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 FOCALSEAL-L SYNTHETIC ABSORBABLE SEALANT SURGICAL POLYMERIC SEALANT FTL GENZYME BIOSURGERY NA 0110650LP

Patients

Seq Age Sex Outcome Treatment
1 85 YR Hospitalization| L| R