| Brand Name | ABRE VENOUS SELF-EXPANDING STENT SYSTEM |
| Common Device Name | STENT, ILIAC VEIN |
| Manufacturer (Section D) |
| Covidien |
| 4600 nathan lane north |
| plymouth MN 55442 |
|
| Manufacturer (Section G) |
| Covidien |
| 4600 nathan lane north |
|
| plymouth MN 55442 |
|
| Manufacturer Contact |
|
alison
sweeney
|
| parkmore business park west |
| galway
|
|
EI
|
|
+353(091)708096
|
|
| MDR Report Key | 50139170 |
| Report Number | 2183870-2026-00359 |
| Device Sequence Number | 10694088 |
| Product Code |
QAN
|
| UDI-Device Identifier | 00643169796324 |
| UDI-Public | (01)00643169796324(17)281023(10)C209387 |
| Combination Product (Y/N) | N |
| Initial Reporter State | MI |
| Initial Reporter Country | US |
| PMA/510(K) Number | P200026 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Physician
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/22/2026 |
| 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 Catalogue Number | AB9U14150090 |
| Device Lot Number | C209387 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/12/2026 |
| Supplement Date Received by Manufacturer | 08/31/2026
|
| Initial Report FDA Received Date | 08/05/2026 |
| Supplement Report FDA Received Date | 09/22/2026
|
| Date Device Manufactured | 10/24/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|