FDA Adverse Event Malfunction Summary report: N

MULTI-LINK RX VISION CORONARY STENT SYSTEM

MDR report key: 1051321 · Received May 22, 2008

Report

Report Number
2024168-2008-00419
Event Type
Malfunction
Date Received
May 22, 2008
Date of Event
April 23, 2008
Report Date
April 24, 2008
Manufacturer
ABBOTT VASCULAR-CARDIAC THERAPIES
Product Code
MAF
PMA / PMN Number
PO20047
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UY
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

.

Description of Event or Problem · 1

REPORTING STATUS: MALFUNCTION. REPORTING RATIONALE: STENT DISLODGEMENT HAS CAUSED OR CONTRIBUTED TO PATIENT INJURY PREVIOUSLY. DEVICE ISSUE: STENT DISLODGEMENT. IT WAS REPORTED THAT UPON UNPACKING, IT WAS NOTICED THAT THE STENT WAS LOOSE IN THE BOX. NO ADDITIONAL EVENT OR PATIENT INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTI-LINK RX VISION CORONARY STENT SYSTEM 74MAF MAF ABBOTT VASCULAR-CARDIAC THERAPIES NA 8020732

Patients

Seq Age Sex Outcome Treatment
1 UNK