FDA Adverse Event Malfunction Summary report: N

PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM

MDR report key: 18327954 · Received December 14, 2023

Report

Report Number
2024168-2023-14009
Event Type
Malfunction
Date Received
December 14, 2023
Date of Event
November 24, 2023
Report Date
January 26, 2024
Manufacturer
ABBOTT VASCULAR
Product Code
MGB
UDI-DI
08717648235184
PMA / PMN Number
P960043
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED FOR ANALYSIS. A REVIEW OF THE MANUFACTURING RECORDS IDENTIFIED NO MANUFACTURING NONCONFORMITIES ISSUED TO THE REPORTED LOT THAT WOULD HAVE CONTRIBUTED TO THIS EVENT. ADDITIONALLY, A REVIEW OF THE COMPLAINT HISTORY IDENTIFIED NO OTHER SIMILAR INCIDENTS. THE ROOT CAUSE OF THE REPORTED DIFFICULTIES AND THE SUBSEQUENT TREATMENTS ARE RELATED TO CIRCUMSTANCES OF THE PROCEDURE. BASED ON THE INFORMATION REVIEWED, IT IS LIKELY AN INTERACTION WITH THE SECOND DEVICE CAUSED THE DAMAGE TO THE FIRST IMPLANTED SUTURE RESULTING IN A MATERIAL SEPARATION. FACTORS AFFECTING A DEVICE DAMAGED BY ANOTHER DEVICE INCLUDE BUT ARE NOT LIMITED TO, THE FIRST DEVICE SUTURE IS TOO LOOSE IN THE VESSEL, OR IF THE ROTATION OF EITHER DEVICE IS SUBOPTIMAL. THERE IS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH RESPECT TO THE DESIGN, MANUFACTURE, OR LABELING OF THE DEVICE. B5: DESCRIBE EVENT OR PROBLEM CORRECTED FOR ADDITIONAL CLARITY. D4 - LOT NUMBER WAS UPDATED FROM 3073141 TO 3053043. D4: EXPIRATION DATE AND H4: MANUFACTURING DATE UPDATED AS A RESULT.

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

Description of Event or Problem · 0

IT WAS REPORTED THAT SUTURE PLACEMENT IN THE RIGHT COMMON FEMORAL ARTERY WAS ATTEMPTED WITH A PROSTYLE DEVICE USING THE PRE-CLOSE TECHNIQUE VIA AN 8F SHEATH HOLE PRIOR TO A TO A THORACIC ENDOVASCULAR AORTIC REPAIR (TEVAR) INTERVENTIONAL PROCEDURE. THE FIRST SUTURE WAS DEPLOYED AND PREPLACED AS INTENDED. REPORTEDLY, DURING PLACEMENT OF THE SECOND PROSTYE SUTURE, THE DEVICE INTERACTED WITH THE FIRST SUTURE CAUSING THE SUTURE TO SEPARATE. THE SECOND SUTURE WAS PREPLACED AS INTENDED. THE SUTURE OF ONE NEW PROSTYLE DEVICE WAS SUCCESSFULLY PRE-PLACED. THE SHEATH WAS UPSIZED TO A 16F, AND THE TEVAR PROCEDURE WAS COMPLETED. HEMOSTASIS WAS ACHIEVED WITH THE PRE-PLACED PROSTYLE SUTURES. THERE WAS NO REPORTED ADVERSE PATIENT SEQUELA AND NO REPORTED CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE OR THERAPY. NO ADDITIONAL INFORMATION WAS PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED THAT SUTURE PLACEMENT IN THE RIGHT COMMON FEMORAL ARTERY WAS ATTEMPTED WITH A PROSTYLE DEVICE USING THE PRE-CLOSE TECHNIQUE VIA AN 8F SHEATH HOLE PRIOR TO A TO A THORACIC ENDOVASCULAR AORTIC REPAIR (TEVAR) INTERVENTIONAL PROCEDURE. THE FIRST SUTURE WAS DEPLOYED AND PREPLACED AS INTENDED. REPORTEDLY, DURING PLACEMENT OF THE SECOND PROSTYE SUTURE, THE FIRST SUTURE SEPARATED (BROKE) AND WAS REMOVED. THE SECOND SUTURE WAS PREPLACED AS INTENDED. THE SUTURE OF ONE NEW PROSTYLE DEVICE WAS SUCCESSFULLY PRE-PLACED. THE SHEATH WAS UPSIZED TO A 16F, AND THE TEVAR PROCEDURE WAS COMPLETED. HEMOSTASIS WAS ACHIEVED WITH THE PRE-PLACED PROSTYLE SUTURES. THERE WAS NO REPORTED 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
1769020 PERCLOSE PROSTYLE SUTURE-MEDIATED CLOSURE AND REPAIR SYSTEM SUTURE MEDIATED CLOSURE MGB ABBOTT VASCULAR 3053043 08717648235184

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention