FDA Adverse Event Injury Summary report: N

PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM

MDR report key: 17810716 · Received September 25, 2023

Report

Report Number
2024168-2023-10524
Event Type
Injury
Date Received
September 25, 2023
Date of Event
August 31, 2023
Report Date
November 2, 2023
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
TN, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED FOR EVALUATION. A REVIEW OF THE LOT HISTORY RECORD REVEALED NO MANUFACTURING NONCONFORMITIES THAT WOULD HAVE CONTRIBUTED TO THIS COMPLAINT. ADDITIONALLY, A REVIEW OF THE COMPLAINT HISTORY DID NOT INDICATE A LOT SPECIFIC QUALITY ISSUE. THE INVESTIGATION WAS UNABLE TO DETERMINE A CONCLUSIVE CAUSE FOR THE REPORTED DIFFICULTIES; HOWEVER, THE TREATMENT APPEARS TO BE RELATED TO CIRCUMSTANCES OF THE PROCEDURE. BASED ON THE INFORMATION REVIEWED, THERE IS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH RESPECT TO MANUFACTURE, DESIGN OR LABELING.NA.

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 PROSTYLE DEVICE REFERENCED IN B5 IS FILED UNDER A SEPARATE MEDWATCH REPORT NUMBER.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS WAS AN ARTERIOTOMY CLOSURE OF A RIGHT FEMORAL ARTERY USING A PROSTYLE AFTER A LEFT MAIN PERCUTANEOUS CORONARY INTERVENTION WITH A 7F SHEATH. REPORTEDLY, THE SUTURE DID NOT TAKE. ANOTHER PROSTYLE WAS DEPLOYED AND OOZING [BLEEDING] CONTINUED. MANUAL PRESSURE AND A HEMOSTATIC DRESSING WERE APPLIED. LATER, THE PATIENT RETURNED TO THE CATH LAB DUE TO BLEEDING. MANUAL COMPRESSION ACHIEVED HEMOSTASIS. THERE WAS A REPORTED CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1709720 PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM SUTURE MEDIATED CLOSURE MGB ABBOTT VASCULAR 3060142 08717648235184

Patients

Seq Age Sex Outcome Treatment
1 86 YR Female Required Intervention