PERCLOSE * 83269-6H 2002/11

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2002-03-25 for PERCLOSE * 83269-6H 2002/11 manufactured by Abbott Laboratories Comp.

Event Text Entries

[282109] Perclose sutures failed to deploy in rfa post cath.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1024565
MDR Report Key386309
Date Received2002-03-25
Date of Report2002-03-20
Date of Event2002-03-20
Date Added to Maude2002-04-08
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePERCLOSE
Generic Name6F CLOSER
Product CodeKGL
Date Received2002-03-25
Model Number*
Catalog Number83269-6H 2002/11
Lot Number*
ID Number*
Device Expiration Date2002-11-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagY
Date Removed*
Device Sequence No1
Device Event Key375343
ManufacturerABBOTT LABORATORIES COMP
Manufacturer Address400 SAGINAW DR REDWOOD CITY CA 94063 US
Baseline Brand NameULTRALITE FULL BODY PHOTOTHERAPY UNIT
Baseline Generic NameUV DERMATOLOGY LIGHT
Baseline Model NoV4824TL
Baseline Catalog NoV4824TL
Baseline IDNA


Patients

Patient NumberTreatmentOutcomeDate
10 2002-03-25

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