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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM; BIORESORBABLE SCAFFOLD

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ABBOTT VASCULAR ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM; BIORESORBABLE SCAFFOLD Back to Search Results
Catalog Number UNK ABSORB
Device Problem Patient-Device Incompatibility (2682)
Patient Problem No Consequences Or Impact To Patient (2199)
Event Date 12/01/2013
Event Type  malfunction  
Manufacturer Narrative
Event dates estimated.The patient deaths referenced will be filed under a separate medwatch report #.The patient effects referenced will be filed under a separate medwatch report #.The additional xience referenced will be filed under a separate medwatch report #.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 part and lot numbers were not provided.A conclusive cause for the reported difficulty to deploy, and the relationship to the product, if any, cannot be determined.There is no indication of a product quality issue with respect to manufacture, design or labeling.The udi is unknown as the part and lot numbers were not provided.Article title: comparison of an everolimus-eluting bioresorbable scaffold with an everolimus-eluting metallic stent in routine pci: three-year clinical outcomes from the aida trial.
 
Event Description
It was reported through a research article identifying xience that may be related to the following: patient death, myocardial infarction, thrombosis, cardiac arrest, revascularization, rehospitalization, malposition, and stents jailing or occluding vessels.Additionally, it was identified that absorb may be related to the following: patient death, myocardial infarction, thrombosis, dissection, revascularization, rehospitalization, and malposition.This article summarizes clinical outcomes of 1,845 patients that were treated with xience and absorb stents.Specific patient information is documented as unknown.Details are listed in the article, titled "comparison of an everolimus-eluting bioresorbable scaffold with an everolimus-eluting metallic stent in routine pci: three-year clinical outcomes from the aida trial.".
 
Manufacturer Narrative
This report is being resubmitted to ensure the enclosed attachment can be easily opened by the fda.
 
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Brand Name
ABSORB BIORESORBABLE VASCULAR SCAFFOLD SYSTEM
Type of Device
BIORESORBABLE SCAFFOLD
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
MDR Report Key10005822
MDR Text Key189226673
Report Number2024168-2020-03952
Device Sequence Number1
Product Code PNY
Combination Product (y/n)Y
PMA/PMN Number
P150023
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type literature
Type of Report Initial,Followup
Report Date 07/28/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberUNK ABSORB
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 04/08/2020
Initial Date FDA Received04/28/2020
Supplement Dates Manufacturer Received07/20/2020
Supplement Dates FDA Received07/28/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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