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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR G4 STEERABLE GUIDING CATHETER; CATHETER, STEERABLE

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ABBOTT VASCULAR G4 STEERABLE GUIDING CATHETER; CATHETER, STEERABLE Back to Search Results
Model Number SGC0701
Device Problems Break (1069); Failure to Advance (2524); Deformation Due to Compressive Stress (2889); Unintended Movement (3026)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 05/25/2021
Event Type  malfunction  
Manufacturer Narrative
The device will not be returned for evaluation, the device was reportedly discarded.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
 
Event Description
This is filed to report the suspected cable break.It was reported that this was a mitraclip procedure to treat degenerative mitral regurgitation (mr) with an mr grade of 4.The anatomy was tortuous.The steerable guiding catheter (sgc) failed to cross the septum, it would not pass the iliac due to resistance with the anatomy, and the shaft kinked.The sgc no longer steered when applying minus on the +/- knob.A cable break was suspected.The sgc was removed without issue.A new sgc was used.Two clips were implanted, reducing mr to 1.There were no adverse patient effects and no clinically significant delay during the procedure.No additional information was provided.
 
Manufacturer Narrative
The device was not returned for analysis.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 other complaint reported from this lot.All available information was investigated, and a conclusive cause for the reported failure to advance could not be determined in this complaint.The reported deformation due to compressive stress, unintended movement and break were cascading events that resulted from the troubleshooting steps/procedural circumstances.There is no indication of product issue with respect to manufacture, design or labeling.
 
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Brand Name
G4 STEERABLE GUIDING CATHETER
Type of Device
CATHETER, STEERABLE
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
MDR Report Key12003122
MDR Text Key262960413
Report Number2024168-2021-05008
Device Sequence Number1
Product Code DRA
UDI-Device Identifier08717648231025
UDI-Public08717648231025
Combination Product (y/n)N
PMA/PMN Number
K190167
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Type of Report Initial,Followup
Report Date 08/06/2021
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 Expiration Date02/24/2022
Device Model NumberSGC0701
Device Catalogue NumberSGC0701
Device Lot Number10225U146
Was Device Available for Evaluation? No
Initial Date Manufacturer Received 05/25/2021
Initial Date FDA Received06/15/2021
Supplement Dates Manufacturer Received07/19/2021
Supplement Dates FDA Received08/06/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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