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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ATRIUM MEDICAL; PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER

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ATRIUM MEDICAL; PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER Back to Search Results
Device Problem Insufficient Information (3190)
Patient Problems Loss Of Pulse (2562); No Code Available (3191)
Event Type  Injury  
Manufacturer Narrative
A complaint investigation was not able to be performed as no product code, lot number, or sample was provided.Per the article, this technique allows early reperfusion of the ischemic extremity upon institution of the cardiopulmonary bypass circuit with concomitant emergent repair of the ascending aorta.
 
Event Description
Received an article titled "a method of treating patients with acute type a aortic dissection and lower extremity malperfusion." the article was to describe a technique, where acute limb ischemia is concomitantly managed with the replacement of the ascending aort/hemiarch or aortic arch.In addition to axillary artery cannulation, the ischemic lower extremity is perfused through a polytetrafluoroethylene (ptfe) graft, which is connected to the cardiopulmonary bypass circuit.Per the article adverse events included: two patients underwent fem to fem bypass due to pulse deficits coming off bypass.Three patients had four compartment fasciotomies of the affected lower extremity.
 
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Type of Device
PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER
Manufacturer (Section D)
ATRIUM MEDICAL
40 continental blvd
merrimack NH 03054
Manufacturer (Section G)
ATRIUM MEDICAL
40 continental blvd
merrimack NH 03054
Manufacturer Contact
40 continental blvd
merrimack, NH 03054
MDR Report Key7341893
MDR Text Key102513838
Report Number3011175548-2018-00258
Device Sequence Number1
Product Code DSY
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,literatur
Reporter Occupation Physician
Type of Report Initial
Report Date 03/15/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/15/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/21/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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