PENDITURE LAA EXCLUSION SYSTEM
Received Nov 21, 2024 · Event occurred Feb 27, 2024
Report 2184009-2024-00721 · MDR key 20743463
Device
Generic name
Left Atrial Appendage Clip, Implantable
Manufacturer
Perfusion SystemsModel number
LAAC40Catalog number
LAAC40
Lot number
T3K168X
Product problems
- Fluid/Blood Leak
- Mechanical Problem
- Fluid/Blood Leak
- Mechanical Problem
Patient
NA · Unknown
- Hemorrhage/Blood Loss/Bleeding
- Hemorrhage/Blood Loss/Bleeding
Narrative
Additional Manufacturer Narrative
THIS REGULATORY REPORT IS BEING SUBMITTED DUE TO RETROSPECTIVE REVIEW THROUGH CAPA 624392. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.
Description of Event or Problem
MEDTRONIC RECEIVED INFORMATION THAT DURING USE OF A PENDITURE DEVICE, IT WAS REPORTED THAT THE CLIP MIGRATED AND LEAKED AFTER THE CUSTOMER CUT THE APPENDAGE TO TEST. A PLEDGETED SUTURE WAS PLACED TO CONTROL THE LEAK AND MIGRATION. THE DEVICE WAS USED TO COMPLETE THE PROCEDURE. THERE WAS NO ADVERSE PATIENT EFFECT ASSOCIATED WITH THIS EVENT.