FDA Adverse Event Malfunction Summary report: N

MULTI-LINK 8

MDR report key: 3771507 · Received April 24, 2014

Report

Report Number
2024168-2014-02585
Event Type
Malfunction
Date Received
April 24, 2014
Date of Event
April 1, 2014
Report Date
April 1, 2014
Manufacturer
AV-TEMECULA-CT
Product Code
MAF
PMA / PMN Number
P020047
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). IT IS INDICATED THAT THE DEVICE IS NOT RETURNING FOR EVALUATION; THEREFORE A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. A REVIEW OF THE LOT HISTORY RECORD REVEALED NO ASSOCIATED NON-CONFORMANCES THAT WOULD HAVE CAUSED OR CONTRIBUTED TO THE REPORTED EVENT. A QUERY/REVIEW OF THE COMPLAINT HANDLING DATABASE REVEALED NO OTHER SIMILAR INCIDENTS REPORTED FROM THIS LOT. BASED ON THE INFORMATION REVIEWED, THERE IS NO INDICATION OF A PRODUCT DEFICIENCY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PROCEDURE OF THE LEFT ANTERIOR DESCENDING (LAD) ARTERY THE 2.75 X 38 MM MULTILINK 8 STENT DELIVERY SYSTEM (SDS) WAS OPENED AND REMOVED FROM THE PROTECTIVE PLASTIC COIL WHEN FOREIGN MATERIAL LIKE A HAIR WAS NOTED ON THE STENT IMPLANT. THE DEVICE WAS NOT USED; THERE WAS NO PATIENT INVOLVEMENT. THERE WAS NO REPORTED CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
248992 MULTI-LINK 8 CORONARY STENT SYSTEM MAF AV-TEMECULA-CT 2031441

Patients

Seq Age Sex Outcome Treatment
1