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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOTRONIK AG PK PAPYRUS US 3.0/26; COVERED CORONARY STENT SYSTEM

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BIOTRONIK AG PK PAPYRUS US 3.0/26; COVERED CORONARY STENT SYSTEM Back to Search Results
Model Number 434899
Medical Device Problem Code Failure to Advance (2524)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/01/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The affected pk papyrus stent system was not returned and could therefore not be subjected to a technical investigation.Images of the case such as angiographies could also not be obtained.Review of the production documentation confirmed that the device was manufactured according to specifications and fulfilled all the requirements of in-process and final inspection.Based on the conducted review, no manufacturing related root cause could be identified.Pk papyrus is indicated for the treatment of acute perforations of native coronary arteries and coronary bypass grafts in vessels 2.5 to 5.0 mm in diameter.As such, this device is typically used in emergent response to a life-threatening adverse procedural event unrelated to use of the pk papyrus.
 
Event or Problem Description
A pk papyrus covered stent system was selected for treatment of a severely calcified lesion in the lm to proximal lad (no further information available) by orbital atherectomy during which a coronary artery perforation occurred.The orbital atherectomy wire sheared in half with the distal portion of the wire remaining in the mid to distal lad.The two affected pk papyrus (the 1st device was reported separately) were introduced into the patient's body but could not cross the lesion.
 
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Brand Name
PK PAPYRUS US 3.0/26
Common Device Name
COVERED CORONARY STENT SYSTEM
Manufacturer (Section D)
BIOTRONIK AG
ackerstrasse 6
bulach, zurich 8180
SZ  8180
Manufacturer (Section G)
BIOTRONIK AG
ackerstrasse 6
bulach, zurich 8180
SZ   8180
Manufacturer Contact
tina mueller
ackerstrasse 6
bulach, zurich 8180
SZ   8180
MDR Report Key23727004
Report Number8043892-2025-11143
Device Sequence Number10629083
Product Code NIV
UDI-Device Identifier07640130447271
UDI-Public(01)07640130447271(17)270325(10)03251164
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
H17004
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 12/05/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model Number434899
Device Lot Number03251164
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer Not provided
Initial Report FDA Received Date12/05/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/26/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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