BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM

    MDR report key: 17730744 · Received September 12, 2023

    Report

    Report Number
    2024168-2023-09955
    Event Type
    Injury
    Date Received
    September 12, 2023
    Date of Event
    August 15, 2023
    Report Date
    April 26, 2024
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    MGB
    UDI-DI
    08717648235184
    PMA / PMN Number
    P960043
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WA, US
    Reporter Occupation
    PHYSICIAN
    Health Professional
    Yes

    Narratives

    Additional Manufacturer Narrative · 0

    VISUAL INSPECTIONS WERE PERFORMED ON THE RETURNED DEVICE. THE REPORTED A NEEDLE TO CUFF MISS WAS CONFIRMED. A REVIEW OF THE LOT HISTORY RECORD IDENTIFIED NO MANUFACTURING NONCONFORMITIES ISSUED TO THE REPORTED LOT THAT WOULD HAVE CONTRIBUTED TO THIS EVENT. THE REPORTED DIFFICULTIES AND SUBSEQUENT TREATMENT APPEAR TO BE RELATED TO AN INTERACTION OF THE DEVICE WITH PATIENT ANATOMY OR INABILITY TO MAINTAIN POSITION/STABILITY OF THE DEVICE DURING DEPLOYMENT DUE TO CIRCUMSTANCES OF THE PROCEDURE. THERE IS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH RESPECT TO MANUFACTURE, DESIGN OR LABELING. LOT NUMBER UPDATED FROM UNKNOWN TO 3052841.

    Additional Manufacturer Narrative · 0

    ATTACHMENT MEDWATCH UF/IMPORTER REPORT # 5000510000-2023-8071. CORRECTION E4 - INITIAL REPORT SENT TO FDA UPDATED FROM ¿NO¿ TO ¿YES¿. CORRECTION G2 - REPORT SOURCE UPDATED TO ¿USER FACILITY¿.

    Additional Manufacturer Narrative · 0

    MANUFACTURER'S INVESTIGATION IS STILL PENDING AT THIS TIME. RESULTS AND CONCLUSIONS WILL BE PROVIDED IN THE FINAL REPORT. THE ADDITIONAL PERCLOSE PROSTYLE DEVICES REFERENCED IN B5 ARE FILED UNDER SEPARATE MEDWATCH REPORT NUMBERS.

    Description of Event or Problem · 0

    USER FACILITY MEDWATCH REPORT RECEIVED THAT STATES: "CUFF MISS - WHEN TRYING TO DEPLOY THE SUTURE IN THE PROSTYLE DEVICES, NOTHING ANCHORS TO THE BLOOD VESSEL AND THE SUTURE DOESN¿T PULL THROUGH. WHAT WAS THE ORIGINAL INTENDED PROCEDURE? : AFIB ABLATION. WHAT PROBLEM DID THE USER HAVE (CHECK ALL THAT APPLY) :DEVICE MALFUNCTION - THAT IS, THE DEVICE DID NOT DO WHAT IT WAS SUPPOSED TO DO;"

    Description of Event or Problem · 0

    IT WAS REPORTED THAT THIS WAS A CLOSURE USING THREE PROSTYLE DEVICES AFTER A CARDIAC ABLATION PROCEDURE. REPORTEDLY, A CUFF MISS [SUTURE RETRIEVAL ISSUES] OCCURRED WITH THE THREE PROSTYLE DEVICES. A NON-ABBOTT DEVICE WAS USED TO ACHIEVE HEMOSTASIS. THERE WAS NO ADVERSE PATIENT SEQUELA AND NO REPORTED CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE OR THERAPY. NO ADDITIONAL INFORMATION WAS PROVIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    861069 PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM SUTURE MEDIATED CLOSURE MGB ABBOTT VASCULAR 3052841 08717648235184

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Male Required Intervention