BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ABBOTT VASCULAR

    MDR report key: 9762749 · Received February 20, 2020

    Report

    Report Number
    9762749
    Event Type
    Injury
    Date Received
    February 20, 2020
    Date of Event
    February 16, 2020
    Report Date
    February 19, 2020
    Manufacturer
    ABBOTT VASCULAR
    Product Code
    MGB
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DURING STENT PLACEMENT, THE VENTRICULAR ASSIST DEVICE GOT STUCK IN THE GROIN. PT UNDERWENT SURGERY FOR REMOVAL OF THE DEVICE AND REPAIR OF THE LEFT COMMON FEMORAL ARTERY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    199543 ABBOTT VASCULAR PERCLOSE PROGLIDE MGB ABBOTT VASCULAR UNK 9111441

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Required Intervention