FDA Adverse Event Injury Summary report: N

PERCLOSE PROGLIDE 6F SUTURE MEDIATED CLOSURE (SMC) SYSTEM

MDR report key: 1052614 · Received May 27, 2008

Report

Report Number
2953144-2008-00946
Event Type
Injury
Date Received
May 27, 2008
Date of Event
May 2, 2008
Report Date
May 4, 2008
Manufacturer
ABBOTT VASCULAR REDWOOD CITY
Product Code
MGB
PMA / PMN Number
P960043
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
HK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE WAS RECEIVED. INVESTIGATION IS NOT YET COMPLETE.

Description of Event or Problem · 1

DEVICE MALFUNCTION: CUFF MISS. TIME OF DEVICE MALFUNCTION: DURING VESSEL CLOSURE. SYMPTOMS/AE: FAILURE TO ACHIEVE HEMOSTASIS. IT WAS REPORTED THAT A PHYSICIAN TRAINED IN THE USE OF THE PROGLIDE DEVICE ATTEMPTED ARTERIOTOMY CLOSURE OF THE FEMORAL ARTERY AFTER AN INTERVENTIONAL PROCEDURE. REPORTEDLY, AFTER THE NEEDLE PLUNGER WAS PULLED OUT ONLY THE WHITE LINK SUTURE WAS CAPTURED BY THE NEEDLE AND THE WHOLE SUTURE LOOP WAS OUTSIDE OF THE ARTERIOTOMY. THE SUTURE WAS REMOVED, THE GUIDE WIRE WAS REINTRODUCED AND THE DEVICE REMOVED. HEMOSTASIS WAS ACHIEVED USING MANUAL COMPRESSION. THERE WERE NO REPORTED ADVERSE PATIENT EFFECTS. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PERCLOSE PROGLIDE 6F SUTURE MEDIATED CLOSURE (SMC) SYSTEM MGB ABBOTT VASCULAR REDWOOD CITY NA 60092-6H

Patients

Seq Age Sex Outcome Treatment
1 68 YR Required Intervention HEPARIN