ABSORB UNK ABSORB

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 2019-10-14 for ABSORB UNK ABSORB manufactured by Abbott Vascular.

Event Text Entries

[163140682] Date of event, implant date: estimated dates. Exemption number (b)(4). The device will not be returned for evaluation. Investigation is not yet complete. A follow-up report will be submitted with all additional relevant information. The absorb device is currently not commercially available in the u. S; however, it is similar to a device sold in the us. Literature attachment:? A paradox in sex-specific clinical outcomes after bioresorbable scaffold implantation: 2-year results from the aida trial?.
Patient Sequence No: 1, Text Type: N, H10


[163140683] It was reported through a research article identifying the absorb bioresorbable vascular scaffold (bvs) that may be related to the following: myocardial infarction, target lesion/vessel revascularization, and scaffold/stent thrombosis. For additional information, please see attached article? A paradox in sex-specific clinical outcomes after bioresorbable scaffold implantation: 2-year results from the aida trial?.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2019-12608
MDR Report Key9189229
Report SourceLITERATURE
Date Received2019-10-14
Date of Report2019-10-14
Date of Event2019-09-15
Date Mfgr Received2019-09-25
Date Added to Maude2019-10-14
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 ContactMS. LINDSEY BELL
Manufacturer Street26531 YNEZ RD.
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal925914628
Manufacturer Phone9519143996
Manufacturer G1ABBOTT VASCULAR, REG # 2024168
Manufacturer Street26531 YNEZ ROAD
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal Code925914628
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameABSORB
Generic NameBIORESORBABLE SCAFFOLD
Product CodePNY
Date Received2019-10-14
Model NumberUNK ABSORB
Catalog NumberUNK ABSORB
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT VASCULAR
Manufacturer Address26531 YNEZ RD. TEMECULA CA 925914628 US 925914628


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention; 3. Deathisabilit 2019-10-14

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