FDA Adverse Event Injury Summary report: N

PERCLOSE¿ PROSTYLE¿

MDR report key: 23091710 · Received September 18, 2025

Report

Report Number
2024168-2025-10022
Event Type
Injury
Date Received
September 18, 2025
Date of Event
August 28, 2025
Report Date
October 31, 2025
Manufacturer
ABBOTT VASCULAR INC.
Product Code
MGB
UDI-DI
08717648235184
PMA / PMN Number
P960043
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

VISUAL AND FUNCTIONAL ANALYSIS WERE PERFORMED ON THE RETURNED DEVICE. THE REPORTED SUTURE SEPARATION WAS OBSERVED AS NEEDLE TO CUFF MISS. PRODUCTION RECORD AND CORRECTIVE AND PREVENTIVE ACTIONS (CAPA) REVIEWS WERE PERFORMED AND REVEALED NO INDICATION OF A PRODUCT QUALITY ISSUE. 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. D4 CORRECTION: THE LOT NUMBER WAS UPDATED FROM 5060741 TO 5070841; PRIMARY UDI NUMBER UPDATED FROM (B)(4) TO (B)(4).

Additional Manufacturer Narrative · 0

MANUFACTURER'S INVESTIGATION IS STILL PENDING AT THIS TIME. RESULTS AND CONCLUSIONS WILL BE PROVIDED IN THE FINAL REPORT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THIS WAS AN ARTERIOTOMY CLOSURE OF A RIGHT COMMON FEMORAL ARTERY USING THE PRE-CLOSE TECHNIQUE VIA A 6F SHEATH HOLE PRIOR TO A PERIPHERAL LEG INTERVENTIONAL PROCEDURE. REPORTEDLY, THE PROSTYLE SUTURE SEPARATED WHEN THE PLUNGER WAS WITHDRAWN. THE SUTURE OF A NEW PROSTYLE DEVICES WAS SUCCESSFULLY PRE-PLACED. THE SHEATH WAS UPSIZED TO AN 8F, AND THE INTERVENTIONAL PROCEDURE WAS COMPLETED. HEMOSTASIS WAS ACHIEVED WITH THE PRE-PLACED PROSTYLE SUTURE. 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
2825292 PERCLOSE¿ PROSTYLE¿ DEVICE, HEMOSTASIS, VASCULAR MGB ABBOTT VASCULAR INC. 12773-03 5070841 08717648235184

Patients

Seq Age Sex Outcome Treatment
1 73 YR Male Required Intervention