BEUDAMED
    FDA Adverse Event Other Summary report: N

    PER-CLOSE PROGLIDE

    MDR report key: 899895 · Received August 16, 2007

    Report

    Report Number
    MW5003466
    Event Type
    Other
    Date Received
    August 16, 2007
    Date of Event
    June 29, 2007
    Report Date
    August 6, 2007
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    MGB
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PER-CLOSE DEVICE FAULTY; PACKAGING THROWN AWAY, UNABLE TO DIFFERENTIATE WHICH OF THE 3 DEVICES FAILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PER-CLOSE PROGLIDE VASCULAR SURGERY MGB ABBOTT VASCULAR

    Patients

    Seq Age Sex Outcome Treatment
    1 73 YR Other