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.
[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
Report Number | 2024168-2019-13048 |
MDR Report Key | 9257357 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2019-10-30 |
Date of Report | 2019-10-30 |
Date of Event | 2019-09-27 |
Date Mfgr Received | 2019-10-07 |
Date Added to Maude | 2019-10-30 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. LINDSEY BELL |
Manufacturer Street | 26531 YNEZ RD. |
Manufacturer City | TEMECULA CA 925914628 |
Manufacturer Country | US |
Manufacturer Postal | 925914628 |
Manufacturer Phone | 9519143996 |
Manufacturer G1 | ABBOTT VASCULAR |
Manufacturer Street | 26531 YNEZ RD. |
Manufacturer City | TEMECULA CA 925914628 |
Manufacturer Country | US |
Manufacturer Postal Code | 925914628 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | ABSORB |
Generic Name | BIORESORBABLE SCAFFOLD |
Product Code | PNY |
Date Received | 2019-10-30 |
Model Number | UNK |
Catalog Number | UNK ABSORB |
Lot Number | UNK |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ABBOTT VASCULAR |
Manufacturer Address | 26531 YNEZ RD. TEMECULA CA 925914628 US 925914628 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Required No Informationntervention | 2019-10-30 |