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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR STARCLOSE SE VASCULAR CLOSURE SYSTEM; VESSEL CLOSURE CLIP

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ABBOTT VASCULAR STARCLOSE SE VASCULAR CLOSURE SYSTEM; VESSEL CLOSURE CLIP Back to Search Results
Catalog Number 14679-02
Device Problem Unsealed Device Packaging (1444)
Patient Problem No Patient Involvement (2645)
Event Date 07/13/2020
Event Type  malfunction  
Manufacturer Narrative
The device was returned for evaluation.Investigation is not yet complete.A follow up report will be submitted with all additional relevant information.
 
Event Description
It was reported that when the starclose se device was removed from the outer box, the inner pouch was not sealed completely.There was no patient involvement.There was no reported clinically significant delay in the entire procedure.No additional information was provided.
 
Manufacturer Narrative
Analysis was performed on the returned device.The reported unsealed packaging was confirmed.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history identified no similar incidents from this lot.The reported unsealed packaging was concluded to be related to a potential product quality issue.The issue is being addressed per internal operating procedures.Abbott vascular will continue to trend the performance of these devices.
 
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Brand Name
STARCLOSE SE VASCULAR CLOSURE SYSTEM
Type of Device
VESSEL CLOSURE CLIP
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
MDR Report Key10358067
MDR Text Key202055340
Report Number2024168-2020-06431
Device Sequence Number1
Product Code MGB
Combination Product (y/n)N
PMA/PMN Number
P050007
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 09/09/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received08/03/2020
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date10/01/2021
Device Catalogue Number14679-02
Device Lot Number0040141
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/31/2020
Date Manufacturer Received09/08/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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