FDA Adverse Event
Death
Summary report: N
ENGINEERED BICUSPID HEART VALVE
MDR report key: 4744824
·
Received May 1, 2015
Report
- Report Number
- MW5042437
- Event Type
- Death
- Date Received
- May 1, 2015
- Date of Event
- December 1, 2005
- Manufacturer
- CRYOLIFE
- Product Code
- OHA
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WI, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
Narratives
Description of Event or Problem · 1
EXPERIMENTAL SURGERIES. PARENTS NOT INFORMED. (B)(6), SEIZURES UNSTOPPABLE. BREAK OUT OF (B)(6) SO BAD IN HER MOUTH (B)(6) 2007; MOUTH COULD NOT CLOSE BECAUSE WHAT LOOKED LIKE A BUNCH OF BLOOD CLOTS. WE WERE NEVER INFORMED OF THESE DISEASES. ENGINEERED VALVE FIRST OF ITS KIND BY CRYOLIFE INC. TISSUE IMPLANTED AT (B)(6) BY DR (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 286869 | ENGINEERED BICUSPID HEART VALVE | CRYOLIFE INC (GEORGIA) | OHA | CRYOLIFE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 8 YR | Congenital Anomaly| D| H| L| O| R| S | BIO TISSUE HUMAN |