Evidence map›Paper›PMID 40081838›Full record

ArticleBMJ (Clinical research ed.)2025

Late adverse event reporting from medical device manufacturers to the US Food and Drug Administration: cross sectional study.

Alexander O Everhart, Pinar Karaca-Mandic, Rita F Redberg, Joseph S Ross, Sanket S Dhruva

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Left Atrial Appendage Occlusion Device-Associated Infective Endocarditis: Analysis of the FDA-MAUDE Database.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Medical Device Regulation - Who Does the FDA Serve?The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexander O EverhartDivision of General Medical Sciences, John T Milliken Department of Medicine, Washington University School of Medicine in St Louis, St Louis, MO, USA everhart@wustl.edu.ORCID 0000-0001-5192-6557
Pinar Karaca-MandicDepartment of Finance, Carlson School of Management, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-6682-1982
Rita F RedbergDivision of Cardiology, Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, USA.ORCID 0000-0001-6281-0250
Joseph S RossSection of General Medicine and the National Clinician Scholars Program, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.ORCID 0000-0002-9218-3320
Sanket S DhruvaDivision of Cardiology, Department of Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, USA.ORCID 0000-0003-0674-2032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the extent of late adverse event reporting by manufacturers to the US Food and Drug Administration's (FDA) Manufacturer And User Facility Device Experience (MAUDE) database as well as the distribution of late reporting among manufacturers and associations with device characteristics.

designCross sectional study.

settingThe FDA MAUDE database, a central postmarket safety surveillance tool for US medical devices, from 1 September 2019 to 31 December 2022.

participantsMedical device manufacturers that submitted initial adverse event reports to the FDA between 1 September 2019 and 31 December 2022.

main outcome measuresTime in days between date manufacturer was notified of event and date of FDA receipt of adverse event reports, proportion of reports reported late (after the required 30 day window as required by FDA regulation), and distribution of late reporting among manufacturers and medical devices.

results13 587 reports were of deaths, 1 552 268 of injuries, and 2 866 693 of malfunctions received by the FDA from 3028 unique manufacturers and 88 448 unique medical devices in the three and a half year period. Of 4 432 548 included reports, 71.0% (n=3 146 957) of adverse events were reported within 30 days (on time), 4.5% (n=197 606) were reported between 31 and 180 days (late), and 9.1% (n=402 891) were after 180 days (late). 15.5% of reports (n=685 094) had missing or invalid date data provided by the manufacturer. Three manufactures and 13 medical devices were attributed to 54.8% of late reports.

conclusionsNearly a third of manufacturer reports of medical device adverse events were not demonstrably submitted to the FDA within the regulatory deadline, with most late reports being submitted more than six months after manufacturer notification. Most late reports were submitted by a small number of manufacturers. Late adverse event reporting may prevent early detection of patient safety concerns.

Indexed as

Equipment and SuppliesProduct Surveillance, PostmarketingUnited States Food and Drug AdministrationCross-Sectional StudiesDatabases, FactualDevice ApprovalEquipment FailureEquipment SafetyHumansTime FactorsUnited States

Identifiers

PMID40081838
PMCPMC11898541

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.