FDA Adverse Event Malfunction Summary report: N

MULTI-LINK MINI VISION RX CORONARY STENT SYSTEM

MDR report key: 1052383 · Received May 23, 2008

Report

Report Number
2024168-2008-00424
Event Type
Malfunction
Date Received
May 23, 2008
Report Date
April 23, 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
IT
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

.

Description of Event or Problem · 1

REPORTING STATUS: MALFUNCTIONS. REPORTING RATIONALE: LARGER THAN EXPECTED DEVICE COULD CAUSE PT INJURY. DEVICE ISSUE: MISLABELED. THIS EVENT IS BEING FILED CONSERVATIVELY. IT WAS REPORTED THAT WHEN THE PHYSICIAN OPENED A BOX LABELED AS MINIVISION 2.5 X 15, MODEL 1007829-15, LOT NUMBER 7010931, FOUND INSIDE THE POUCH AND THE BOX WAS A VISION 3 X 15, MODEL1007842-15, LOT NUMBER 7120632. THE BOX WAS CLOSED BEFORE OPENING THE PACKAGING. NO ADD'L EVENT OR PT INFO IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTI-LINK MINI VISION RX CORONARY STENT SYSTEM 74MAF MAF ABBOTT VASCULAR-CARDIAC THERAPIES NA 7010931

Patients

Seq Age Sex Outcome Treatment
1 UNK