MAUDE Adverse Event Report: BIOSPHERE MEDICAL S.A.; EMBOSPHERE

Catalog Number	S020GH
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Abscess (1690); Fever (1858); Hemorrhage/Blood Loss/Bleeding (1888); Pain (1994); Pleural Effusion (2010); Vomiting (2144); Peritonitis (2252); Ascites (2596); Thrombosis/Thrombus (4440); Hematemesis (4478)
Date of Event	02/26/2024
Type of Reportable Event	Serious Injury
Additional Manufacturer Narrative
This event was identified during internal quality system activities involving retrospective review of literature sources.Upon review, the manufacturer determined the event meets applicable medical device reporting criteria and is submitting this report to ensure completeness of complaint and mdr documentation.This submission does not represent new information regarding device performance or a change in the known risk profile of the device.Based on the information available in the article, this report represents multiple serious injury events identified during the manufacturer's review of the publication.The suspect device was not returned for evaluation.Device lot information was not available from the publication; therefore, a review of manufacturing records and complaint trending specific to the device lot could not be performed.Based on the information available from the literature source, the complaint could not be confirmed, and a definitive root cause could not be determined.
Event or Problem Description
Study: zaitoun, m.M., basha, m.A., elsayed, s.B., el deen, d.S., zaitoun, n.A., alturkistani, h., farag, a.A., abdelsalam, h., el-kenawy, h.A., mahmoud, n.E., alayouty, n.A., eladl, i.M., shahin, s., almarzooqi, m.-k., hendi, a.M., el-morsy, a., & elmokadem, a.H.(2021).Comparison of three embolic materials at partial splenic artery embolization for hypersplenism: clinical, laboratory, and radiological outcomes.Insights into imaging, 12(1).Https://doi.Org/10.1186/s13244-021-01030-5 was reviewed during internal quality system activities.The publication describes the microspheres used in partial splenic artery embolization (psae) procedures have been associated with pain, fever, vomiting, ascites, pleural effusion, splenic abscess, hematemesis, and portal vein thrombosis.Group two: patients experienced pain (49), fever (50), vomiting (22), ascites (7), pleural effusion (7), splenic abscess (1), hematemesis (1), portal vein thrombosis (1).Specific patient demographics were not included in this article.One patient developed a splenic abscess managed by pigtail catheter drainage and strong antibiotic coverage.Five patients had hematemesis controlled by conservative therapy.Portal vein thrombosis was detected in five patients on follow up ultrasound and ct within the first month after procedure (9-28 days).All thrombosis affected the main stem of portal vein.No specific treatment was given to these patients.Patients with ascites and/or pleural effusion caused abdominal discomfort and/or shortness of breath were managed by thoracocentesis and peritoneocentesis.

• Common Device Name: EMBOSPHERE
• Manufacturer (Section D): BIOSPHERE MEDICAL S.A.; parc des nations paris nord 2; 383 rue de la belle etoile; roissy-en-france, 95700 ; FR 95700
• Manufacturer (Section G): BIOSPHERE MEDICAL S.A.; parc des nations paris nord 2; 383 rue de la belle etoile; roissy-en-france, 95700 ; FR 95700
• Manufacturer Contact: marie-laure patucca ; parc des nations paris nord 2; 383 rue de la belle etoile; roissy-en-france, 95700 ; FR 95700
• MDR Report Key: 25827203
• Report Number: 9615728-2026-00112
• Device Sequence Number: 18572190
• Product Code: KRD
• UDI-Device Identifier: 00884450402948
• UDI-Public: 00884450402948
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K181300
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Literature,Health Professional,Company Representative
• Initial Reporter Occupation: Other
• Type of Report: Initial
• Report Date (Section B): 07/15/2026

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
• Operator of Device: Health Professional
• Device Catalogue Number: S020GH
• Was Device Available for Evaluation?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 07/15/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Usage of Device: Unknown
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Life Threatening; Other
• Patient Sex: Unknown