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 2019-12-20 for ABSORB UNK ABSORB manufactured by Abbott Vascular.

Event Text Entries

[176096591] Unique device identifier (udi#): in the absence of a reported part number, the udi cannot be calculated. Exemption number e2019001. The scaffolds remain in patients. 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 u. S. Article, titled "magmaris very late in-scaffold restenosis: has the 'black boxes' nightmare come back? ".
Patient Sequence No: 1, Text Type: N, H10


[176096592] It was reported through a research article identifying absorb scaffolds that may be related to the following: very late restenosis that seems to be attributed to pure intrascaffold tissue growth without extrinsic encroachment of the scaffold. Details are listed in the attached article, titled "magmaris very late in-scaffold restenosis: has the 'black boxes' nightmare come back? ".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2019-14843
MDR Report Key9504131
Report SourceLITERATURE
Date Received2019-12-20
Date of Report2020-02-21
Date of Event2019-11-11
Date Mfgr Received2020-02-04
Date Added to Maude2019-12-20
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 Received2019-12-20
Catalog NumberUNK ABSORB
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
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. Other 2019-12-20

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