FDA Adverse Event Malfunction Summary report: N

PERCLOSE¿ PROSTYLE¿

MDR report key: 23514438 · Received November 10, 2025

Report

Report Number
2024168-2025-11455
Event Type
Malfunction
Date Received
November 10, 2025
Date of Event
October 21, 2025
Report Date
December 16, 2025
Manufacturer
ABBOTT VASCULAR INC.
Product Code
MGB
UDI-DI
08717648344039
PMA / PMN Number
P960043
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

VISUAL INSPECTIONS WERE PERFORMED ON THE RETURNED DEVICE. THE REPORTED SUTURE DETACHMENT COULD NOT BE TESTED SOME AS THE SUTURE WAS NOT RETURNED. PRODUCTION RECORD AND CORRECTIVE AND PREVENTIVE 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, A DEFINITIVE CAUSE FOR THE REPORTED ISSUE COULD NOT BE DETERMINED. FACTORS THAT MAY CONTRIBUTE TO SUTURE SEPARATION DURING KNOT ADVANCEMENT INCLUDE, BUT ARE NOT LIMITED TO, USER ERROR (PUSHING MORE THAN TENSIONING THE RAIL LIMB, LEVER DEPLOYED EARLY OR EXCESSIVE SUTURE TENSION) OR SUTURE/ NICK DAMAGE. THE TREATMENT APPEARS TO BE RELATED TO CIRCUMSTANCES OF THE PROCEDURE. 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. CORRECTIONS: D4 - LOT #: UPDATED FROM 4091041 TO 5051041. D4 - EXPIRATION DATE: UPDATED FROM 8/31/2026 TO 4/30/2027. D4 - PRIMARY UDI NUMBER: UPDATED FROM (B)(4) TO (B)(4). H4 - DEVICE MFR DATE: UPDATED FROM 9/10/2024 TO 5/10/2025.

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 THE CALCIFIED RIGHT COMMON FEMORAL ARTERY USING A PROSTYLE DEVICE AFTER A PERCUTANEOUS CORONARY INTERVENTION (PCI) PROCEDURE USING A 6F SHEATH. REPORTEDLY, A SUTURE BREAK OCCURRED WHEN PULLING THE BLUE RAIL SUTURE AND USING THE SUTURE TRIMMER TO ADVANCE THE KNOT . MANUAL ARTERIAL COMPRESSION WAS APPLIED TO ACHIEVE HEMOSTASIS. THERE WAS NO 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
2615404 PERCLOSE¿ PROSTYLE¿ DEVICE, HEMOSTASIS, VASCULAR MGB ABBOTT VASCULAR INC. 12773-02 5051041 08717648344039

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown