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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BARD TRUE; BALLOON AORTIC VALVULOPLASTY

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BARD TRUE; BALLOON AORTIC VALVULOPLASTY Back to Search Results
Model Number 20 MM TRUE BALLOON
Device Problems Material Rupture (1546); Detachment of Device or Device Component (2907)
Patient Problem Insufficient Information (4580)
Event Type  Injury  
Event Description
Medtronic received information that during the implant of this transcatheter bioprosthetic valve, the valve was deployed and a post-implant balloon aortic valvuloplasty (bav) was performed.The balloon (20 true balloon) ruptured during the inflation and difficulty was encountered when the balloon was brought back into the introducer in the leg.When the introducer was removed, the balloon was no longer attached to the catheter.A surgical cut down was performed to remove the balloon from the external iliac artery.No additional adverse patient effects were reported.(b)(4).This report reflects information received by fda in the form of a notification per 803.22 (b)(2).
 
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Brand Name
TRUE
Type of Device
BALLOON AORTIC VALVULOPLASTY
Manufacturer (Section D)
BARD
MDR Report Key17523789
MDR Text Key321109575
Report NumberMW5130737
Device Sequence Number1
Product Code OZT
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other
Type of Report Initial
Report Date 03/06/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/12/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? No
Device Model Number20 MM TRUE BALLOON
Patient Sequence Number1
Treatment
TRANSCATHETER BIOPROSTHETIC VALVE
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