MULTI-LINK CORONARY STENT SYSTEM 1012169-18

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-03-25 for MULTI-LINK CORONARY STENT SYSTEM 1012169-18 manufactured by Abbott Vascular.

Event Text Entries

[184901811] 2017 code clarifier - above rated burst pressure. The device will not be returned for evaluation, the device was reportedly discarded. Investigation is not yet complete. A follow-up report will be submitted with all additional relevant information. The other additional multi link referenced is being filed under a separate medwatch report number.
Patient Sequence No: 1, Text Type: N, H10


[184901812] It was reported that the procedure was treat a mildly tortuous right coronary artery that was 80% stenosed. A 4. 0x18mm multi-link stent balloon was advanced to the lesion and inflated to 20 atmospheres and ruptured. During removal resistance was met with a non-abbott guiding catheter and the units had to be removed altogether. Then another 4. 0x23mm multi-link stent-balloon was advanced to the lesion and deployed without issue at 12 atmospheres. The balloon was completely deflated but when pulling it back, it was noted it did not refold tightly. During removal it got stuck in another non-abbott guiding catheter. Both devices (guiding catheter and stent-balloon) had to be removed altogether as a single unit. There was no adverse patient effects and no clinically significant delay. No additional information was provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-02871
MDR Report Key9879116
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-03-25
Date of Report2020-03-25
Date of Event2020-03-04
Date Mfgr Received2020-03-05
Device Manufacturer Date2019-09-05
Date Added to Maude2020-03-25
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 NameMULTI-LINK CORONARY STENT SYSTEM
Generic NameCORONARY STENT DELIVERY SYSTEM
Product CodeMAF
Date Received2020-03-25
Catalog Number1012169-18
Lot Number9090541
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
10 2020-03-25

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