FDA Adverse Event
Malfunction
Summary report: N
PERCLOSE PROSTYLE
MDR report key: 24930873
·
Received April 20, 2026
Report
- Report Number
- MW5186999
- Event Type
- Malfunction
- Date Received
- April 20, 2026
- Date of Event
- April 10, 2026
- Report Date
- April 15, 2026
- Manufacturer
- ABBOTT VASCULAR
- Product Code
- MGB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- VA, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
PERCLOSE PROSTYLE-SUTURE MEDIATED CLOSURE AND REPAIR SYSTEM, (B)(4), LOT: 5120543, REF: 12773-03. PROVIDER STATES THAT SUTURES TORE WHEN THEY WERE CLOSING IT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 147927 | PERCLOSE PROSTYLE | DEVICE, HEMOSTASIS, VASCULAR | MGB | ABBOTT VASCULAR | 12773-03 | 5120543 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Female |