FDA Adverse Event Malfunction Summary report: N

STARCLOSE SE¿

MDR report key: 23394808 · Received October 27, 2025

Report

Report Number
2024168-2025-11233
Event Type
Malfunction
Date Received
October 27, 2025
Date of Event
October 7, 2025
Report Date
November 26, 2025
Manufacturer
ABBOTT VASCULAR INC.
Product Code
MGB
UDI-DI
08717648079474
PMA / PMN Number
P050007
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
BE
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

VISUAL INSPECTION AND FUNCTIONAL TESTING WERE PERFORMED ON THE RETURNED DEVICE. THE REPORTED DIFFICULTY SPLITTING THE SHEATH WAS CONFIRMED BASED ON THE RETURNED DEVICE CONDITION. PRODUCTION RECORD AND CORRECTIVE AND PREVENTATIVE ACTIONS (CAPA) REVIEWS WERE PERFORMED AND REVEALED NO INDICATION OF A PRODUCT QUALITY ISSUE. ADDITIONALLY, A QUERY OF THE COMPLAINT HANDLING DATABASE FOR THE REPORTED LOT REVEALED THERE IS NO INDICATION OF A LOT SPECIFIC ISSUE. BASED ON THE REPORTED INFORMATION AND THE OBSERVATIONS FROM THE RETURNED ANALYSIS, THE INVESTIGATION DETERMINED THAT THE REPORTED ISSUE APPEARS TO BE RELATED TO CIRCUMSTANCES OF THE PROCEDURE. THE OBSERVED EVIDENCE OF DAMAGE TO THE SHEATH INDICATES THERE WAS DEVICE ANGLE CHANGED DURING THUMB ADVANCER/SLIDER STROKE SUCH THAT GARAGE LEAVES INTERACTED WITH SHEATH AND CONTRIBUTED TO THE REPORTED DIFFICULTY SPLITTING THE SHEATH (FAILURE TO SPLIT THE SHEATH) AND NOTED DAMAGES. BASED ON THE RESULTS OF THE COMPLAINT INVESTIGATION THERE IS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH RESPECT TO THE DESIGN, MANUFACTURE, OR LABELING OF THE DEVICE. D4: CORRECTED MODEL # FROM UNK STARCLOSE SE TO 14679-02. D4: CORRECTED CATALOG # FROM UNK STARCLOSE SE TO 14679-02. D4: CORRECTED LOT # FROM UNKNOWN TO 5070841. D4: CORRECTED PRIMARY UDI NUMBER FROM UNKNOWN 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. D4: THE UDI IS NOT KNOWN AS THE PART AND LOT NUMBER WERE NOT PROVIDED.

Description of Event or Problem · 0

IT WAS REPORTED DURING USE OF A STARCLOSE DEVICE, THE SHEATH FAILED TO SPLIT. THE DEVICE FAILED TO ACHIEVE HEMOSTASIS WHICH RESULTED IN THE USE OF AN UNKNOWN METHOD. THERE WAS NO ADVERSE PATIENT EFFECTS 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
2342221 STARCLOSE SE¿ DEVICE, HEMOSTASIS, VASCULAR MGB ABBOTT VASCULAR INC. 14679-02 5070841 08717648079474

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown