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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AGA MEDICAL CORPORATION AMPLATZER DUCT OCCLUDER; TRANSCATHETER SEPTAL OCCLUDER

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AGA MEDICAL CORPORATION AMPLATZER DUCT OCCLUDER; TRANSCATHETER SEPTAL OCCLUDER Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Fistula (1862); High Blood Pressure/ Hypertension (1908)
Event Type  Injury  
Manufacturer Narrative
The results/method and conclusion codes along with investigation results will be provided in a subsequent submission.
 
Event Description
The article "comparison of transcatheter patent ductus arteriosus closure between children and adults" was reviewed.This article was a retrospective study to evaluate the differences in the clinical characteristics and hemodynamic changes after transcatheter pda closure between children and adults.The physicians extracted and analyzed the data of 54 consecutive patients who underwent a transcatheter pda device closure between april 2009 and april 2018.The devices associated with this study are amplatzer duct occluder (ado) and amplatzer vascular plug ii (avp-ii).There are no allegations of malfunction against the abbott devices.The primary author is jun yasuhara.The corresponding author is naokata sumitomo of department of pediatric cardiology, saitama medical university international medical center, yamane, hidaka city, saitama, japan.The corresponding email is: sumitomo@saitama-med.Ac.Jp.
 
Manufacturer Narrative
As reported in a research article, two patients had hypertension after the procedure and one patient had a arteriovenous fistula.A more comprehensive assessment could not be performed as the event was non-contemporaneously reported through a literature review and no device was received for analysis.Based on the information received, the cause of the reported incident could not be conclusively determined.
 
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Brand Name
AMPLATZER DUCT OCCLUDER
Type of Device
TRANSCATHETER SEPTAL OCCLUDER
Manufacturer (Section D)
AGA MEDICAL CORPORATION
5050 nathan lane north
plymouth MN 55442
MDR Report Key10277501
MDR Text Key200813486
Report Number2135147-2020-00317
Device Sequence Number1
Product Code MAE
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,health professional,l
Type of Report Initial,Followup,Followup
Report Date 12/20/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/15/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Was the Report Sent to FDA? No
Date Manufacturer Received11/10/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age4 YR
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