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 2019-03-01 for ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM manufactured by Av-temecula-ct.

Event Text Entries

[137588924] (b)(4). During processing of this complaint, attempts were made to obtain complete event, patient and device information. Date of event, implant date: estimated dates. The absorb device is currently not commercially available in the u. S; however, it is similar to a device sold in the u. S. Product performance engineering reviewed the incident information; however, there was no reported device malfunction and the product was not returned. A review of the lot history record and complaint history could not be conducted because the part and lot number were not provided. The reported patient effects of occlusion and thrombosis, as listed in the bioresorbable vascular scaffold (bvs) system, absorb, instructions for use are known adverse events associated with the use of a coronary scaffold in native coronary arteries. A conclusive cause for the reported patient effects, and the relationship to the product, if any, cannot be determined. There is no indication of a product quality issue with respect to design, manufacture or labeling of the device. The unk xience device referenced is being filed under a separate medwatch report. Literature: "clinical outcomes at 2 years of the absorb bioresorbable vascular scaffold versus the xience drug-eluting metallic stent in patients presenting with acute coronary syndrome versus stable coronary disease - aida trial sub-study. "
Patient Sequence No: 1, Text Type: N, H10


[137588926] It was reported through a research article that absorb bioresorbable vascular scaffold stents and xience drug-eluting stents may be related to thrombosis and target vessel failure [occlusion]. Specific patient information is documented as unknown. Details are listed in the article, title: "clinical outcomes at 2 years of the absorb bioresorbable vascular scaffold versus the xience drug-eluting metallic stent in patients presenting with acute coronary syndrome versus stable coronary disease - aida trial sub-study. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2019-01600
MDR Report Key8383275
Report SourceLITERATURE
Date Received2019-03-01
Date of Report2019-06-19
Date of Event2019-02-01
Date Mfgr Received2019-06-10
Date Added to Maude2019-03-01
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 Received2019-03-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
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
101. Other; 2. Deathisabilit 2019-03-01

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