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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOTRONIK AG PK PAPYRUS US 2.5/15; COVERED CORONARY STENT SYSTEM

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BIOTRONIK AG PK PAPYRUS US 2.5/15; COVERED CORONARY STENT SYSTEM Back to Search Results
Model Number 434887
Medical Device Problem Code Device Dislodged or Dislocated (2923)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/31/2025
Type of Reportable Event Malfunction
Event or Problem Description
After balloon dilatation in the main branch of the lad a type iii perforation occurred.Balloon dilatation was performed to stop bleeding and then, it was decided to implant a pk papyrus covered stent.The device failed to deliver to mid lad because it got trapped by a des in lm and dislodged.Additional balloon tamponade was performed, and the perforation was successfully sealed.
 
Event or Problem Description
After balloon dilatation in the main branch of the lad a type iii perforation occurred.Balloon dilatation was performed to stop bleeding and then, it was decided to implant a pk papyrus covered stent.The device failed to deliver to mid lad because it got trapped by a des in lm and dislodged.Additional balloon tamponade was performed, and the perforation was successfully sealed.
 
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.The provided clinical information (pk papyrus device registration form, cathlab report) and the production documentation were reviewed to establish whether a device deficiency contributed to this event.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 provided documentation and the conducted review no manufacturing-related root cause could be identified.The treating physician rated the occurrence as procedure- and device-related complication.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.
 
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Brand Name
PK PAPYRUS US 2.5/15
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
ramona ergler
ackerstrasse 6
bulach, zurich 8180
SZ   8180
MDR Report Key23753983
Report Number8043892-2025-11184
Device Sequence Number20299904
Product Code NIV
UDI-Device Identifier07640130447158
UDI-Public(01)07640130447158(17)260902(10)07244402
Combination Product (Y/N)N
Initial Reporter StateWI
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,Followup
Report Date (Section B) 03/10/2026
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 Expiration Date09/02/2026
Device Model Number434887
Device Lot Number07244402
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
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date12/09/2025
Supplement Report FDA Received Date03/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/03/2024
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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