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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOTRONIK AG ORSIRO MISSION US 3.5/35; CORONARY DRUG-ELUTING STENT

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BIOTRONIK AG ORSIRO MISSION US 3.5/35; CORONARY DRUG-ELUTING STENT Back to Search Results
Model Number 453971
Medical Device Problem Code Failure to Advance (2524)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/01/2025
Type of Reportable Event Malfunction
Event or Problem Description
The orsiro mission drug-eluting stent system was selected for treatment of a svg.After insertion of the first stent, blood clots were still visible, so a second stent was inserted.According to the sales representative the device did not cross.
 
Additional Manufacturer Narrative
Combination product: yes.
 
Additional Manufacturer Narrative
Combination product: yes.Neither the affected device nor the angiographic material was returned.Therefore, no technical investigation on the subject could be performed.The production documentation was reviewed to establish whether a deviation from the manufacturing process could be the cause for the reported event.Review of the production documentation confirmed that the device was manufactured according to specifications and passed all in-process and final inspections.Based on the conducted investigations, no material or manufacturing related root cause could be determined.
 
Event or Problem Description
The orsiro mission drug-eluting stent system was selected for treatment of a svg.After insertion of the first stent, blood clots were still visible, so a second stent was inserted.According to the sales representative the device did not cross.
 
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Brand Name
ORSIRO MISSION US 3.5/35
Common Device Name
CORONARY DRUG-ELUTING STENT
Manufacturer (Section D)
BIOTRONIK AG
ackerstrasse 6
bulach, zurich 8180
CH  8180
Manufacturer (Section G)
BIOTRONIK AG
ackerstrasse 6
bulach, zurich 8180
SZ   8180
Manufacturer Contact
ramona ergler
ackerstrasse 6
bulach, zurich 8180
SZ   8180
MDR Report Key23862622
Report Number8043892-2025-12021
Device Sequence Number15777775
Product Code NIQ
UDI-Device Identifier07640130456273
UDI-Public(01)07640130456273(17)280713(10)06254238
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
PMA/510(K) Number
P170030
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source User Facility,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 03/03/2026
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
Operator of Device Health Professional
Device Model Number453971
Device Lot Number06254238
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer Not provided
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date12/22/2025
Supplement Report FDA Received Date03/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/15/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Patient SexUnknown
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