• Decrease font size
  • Return font size to normal
  • Increase font size
U.S. Department of Health and Human Services

MAUDE Adverse Event Report: AZIYO BIOLOGICS, INC. CORMATRIX ECM FOR CAROTID REPAIR; PATCH, PLEDGET, INTRACARDIAC - DXZ

  • Print
  • Share
  • E-mail
-
Super Search Devices@FDA
510(k) | DeNovo | Registration & Listing | Adverse Events | Recalls | PMA | HDE | Classification | Standards
CFR Title 21 | Radiation-Emitting Products | X-Ray Assembler | Medsun Reports | CLIA | TPLC
 

AZIYO BIOLOGICS, INC. CORMATRIX ECM FOR CAROTID REPAIR; PATCH, PLEDGET, INTRACARDIAC - DXZ Back to Search Results
Device Problem Thickening of Material (4056)
Patient Problem Restenosis (4576)
Event Type  Injury  
Manufacturer Narrative
Manufacturing review of the cormatrix ecm for carotid repair device history record could not be completed as the lot/serial number was not provided.It is noted that per the instructions for use (ifu - art-20702) provided with the finished vascure for carotid repair device that stenosis/restenosis is listed as a potential complication associated with the procedure and device.Although the exact cause of the reported issues cannot be conclusively determined, stenosis is a known complication associated with the use of a cormatrix ecm for carotid repair and a surgical implant procedure.No further details are available at this time, should aziyo receive any additional details related to this event, a supplemental report will be filed.
 
Event Description
As part of the post market surveillance process, this single center study report published in journal of vascular medicine & surgery titled "effect of extracellular matrix patch on femoral artery after endartarectomy" was reviewed.The article summarizes the results of four (4) patients with peripheral artery disease (pad) involving stenosis of the common femoral artery with bifurcation.The specific product or size is not provided in the article, however likely treated with cormatrix ecm for carotid repair.Of the four patients treated, one (1) patient died two (2) days post-op due to cardiac arrest and reported in a separate mdr.The remaining three (3) patients were evaluated at one, three, and six months post-operatively with no reported complications.At one year post-op, one (1) patient was identified with restenosis.This report will focus on the restenosis event.This patient (patient #3 of the study group) who initially presented with stenosis in the distal portion of the external iliac artery (eia) prior to the surgical procedure, now showed restenosis of the eia.Marginal wall thickening of the ecm and significant restenosis was shown by spectral doppler.Both the common and profunda femoral arteries continued to demonstrate patency.Follow-up attempts to contact the corresponding author have been unsuccessful and no details have been provided regarding specific product used and corresponding lot numbers.Should any additional information be received a follow-up report will be filed.
 
Search Alerts/Recalls

  New Search  |  Submit an Adverse Event Report

Brand Name
CORMATRIX ECM FOR CAROTID REPAIR
Type of Device
PATCH, PLEDGET, INTRACARDIAC - DXZ
Manufacturer (Section D)
AZIYO BIOLOGICS, INC.
1100 old ellis road
ste 1200
roswell GA 30076
Manufacturer (Section G)
AZIYO BIOLOGICS, INC.
1100 old ellis road
ste 1200
roswell GA 30076
Manufacturer Contact
michael hennick
1100 old ellis road
ste 1200
roswell, GA 30076
MDR Report Key11084448
MDR Text Key231785903
Report Number3005619880-2020-00081
Device Sequence Number1
Product Code DXZ
Combination Product (y/n)N
Reporter Country CodeHR
PMA/PMN Number
K111187
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,literature,study
Reporter Occupation Physician
Type of Report Initial
Report Date 12/28/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
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
Initial Date Manufacturer Received 11/05/2019
Initial Date FDA Received12/28/2020
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
-
-