RX VISION CORONARY STENT SYSTEM UNKNOWN RX VISION

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 2020-02-27 for RX VISION CORONARY STENT SYSTEM UNKNOWN RX VISION manufactured by Abbott Vascular.

Event Text Entries

[181153858] Estimated dates: date of death, date of event, date of implant. The udi # could not be provided because the part and lot numbers were not reported. The device was not returned for evaluation. A review of the lot history record and complaint history of the reported lot could not be conducted because the lot and part number were not provided. The investigation was unable to determine a conclusive cause for the reported stent break. A conclusive cause for the reported patient effects and the relationship to the product, if any, cannot be determines. The reported patient effects of stenosis and death, as listed in the multi-link vision coronary stent system (css), instructions for use are known patient effects that may be associated with coronary stenting. There is no indication of a product quality issue with respect to the design, manufacture or labeling of the device. The supera and absolute stents referenced are filed under separate medwatch report numbers.
Patient Sequence No: 1, Text Type: N, H10


[181153859] It was reported through a research article identifying one vision stent that may be related to the following: death, restenosis, target vessel/limb revascularization, stent fracture, stent elongation, and stent compression. Details are listed in the attached article, titled, "comparative outcomes of supera interwoven nitinol vs bare nitinol stents for the treatment of femoropopliteal disease: insights from the xlpad registry".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-01833
MDR Report Key9763799
Report SourceLITERATURE
Date Received2020-02-27
Date of Report2020-02-27
Date of Event2016-12-01
Date Mfgr Received2020-02-05
Date Added to Maude2020-02-27
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 # 3005718570 (P099)
Manufacturer StreetCASHEL ROAD
Manufacturer CityCLONMEL TIPPERARY
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRX VISION CORONARY STENT SYSTEM
Generic NameCORONARY STENT DELIVERY SYSTEM
Product CodeMAF
Date Received2020-02-27
Catalog NumberUNKNOWN RX VISION
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. Death 2020-02-27

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