ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a literature report with the FDA on 2019-02-01 for ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM manufactured by Av-temecula-ct.

Event Text Entries

[134860869] (b)(4). During processing of this complaint, attempts were made to obtain complete event, patient and device information. Literature attachment: the demise of the absorb bvs: lessons learned from the discontinuation of a disappearing stent. Date of event has been estimated. Date of implant has been estimated. The scaffold remains in the patient. Investigation is not yet complete. A follow up report will be submitted with all additional relevant information. The additional adverse patient effects referenced in the article are being filed under a separate medwatch report #.
Patient Sequence No: 1, Text Type: N, H10


[134860870] It was identified through review of the article that the absorb bioresorbable vascular scaffold (bvs) may be related to under-expansion and mal-apposition of the scaffold. It is unknown what intervention was performed, if any. Details are listed in the article, titled, "the demise of the absorb bvs: lessons learned from the discontinuation of a disappearing stent".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2019-00761
MDR Report Key8297628
Report SourceLITERATURE
Date Received2019-02-01
Date of Report2019-02-15
Date of Event2018-12-02
Date Mfgr Received2019-02-11
Date Added to Maude2019-02-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactCONNIE SPECK
Manufacturer StreetABBOTT VASCULAR 26531 YNEZ ROAD
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal925914628
Manufacturer Phone9519143996
Manufacturer G1ABBOTT VASCULAR, TEMECULA, CA USA REG# 2024168
Manufacturer StreetABBOTT VASCULAR 26531 YNEZ ROAD
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal Code925914628
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM
Generic NameBIORESORBABLE DRUG ELUTING SCAFFOLD
Product CodePNY
Date Received2019-02-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerAV-TEMECULA-CT
Manufacturer AddressABBOTT VASCULAR 26531 YNEZ ROAD TEMECULA CA 925914628 US 925914628


Patients

Patient NumberTreatmentOutcomeDate
10 2019-02-01

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