ABSORB UNK UNK ABSORB

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-10-30 for ABSORB UNK UNK ABSORB manufactured by Abbott Vascular.

Event Text Entries

[164439362] Exemption number (b)(4). Date of event has been estimated. Date of implant has been estimated. 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. Literature: absorb bioresorbable scaffolds? Out of the woods after 3 years?
Patient Sequence No: 1, Text Type: N, H10


[164439363] It was reported through an article titled, 'absorb bioresorbable scaffolds? Out of the woods after 3 years? ' identifying absorb bioresorbable scaffolds that may be related to major adverse cardiac events of myocardial infarction and thrombosis. Dual anti-platelet therapy was used as treatment. Specific patient information is documented as unknown. Details are listed in the attached article.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2019-13048
MDR Report Key9257357
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-10-30
Date of Report2019-10-30
Date of Event2019-09-27
Date Mfgr Received2019-10-07
Date Added to Maude2019-10-30
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
Manufacturer Street26531 YNEZ RD.
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 Received2019-10-30
Model NumberUNK
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. Required No Informationntervention 2019-10-30

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