BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PERCLOSE PROGLIDE

    MDR report key: 21111453 · Received January 9, 2025

    Report

    Report Number
    21111453
    Event Type
    Malfunction
    Date Received
    January 9, 2025
    Date of Event
    December 30, 2024
    Report Date
    January 2, 2025
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    MGB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MO
    Reporter Occupation
    RISK MANAGER
    Health Professional
    N

    Narratives

    Description of Event or Problem · 0

    FAILED MEDICAL DEVICE ABBOTT PERCLOSE PROSTYLE LOT # 4101641 X 3 DEVICES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    379275 PERCLOSE PROGLIDE DEVICE, HEMOSTASIS, VASCULAR MGB ABBOTT VASCULAR 12773-03 4101641

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown