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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR OMNILINK ELITE PERIPHERAL STENT SYSTEM; PERIPHERAL STENT DELIVERY SYSTEM

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ABBOTT VASCULAR OMNILINK ELITE PERIPHERAL STENT SYSTEM; PERIPHERAL STENT DELIVERY SYSTEM Back to Search Results
Catalog Number 11006-29
Device Problems Stretched (1601); Deformation Due to Compressive Stress (2889)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 08/11/2021
Event Type  malfunction  
Event Description
It was reported the proximal end of the 10x29mm omnilink elite stent delivery system was kinked upon removal of the protective sleeve [hoop coil].The device was not used and another omnilink was used to successfully complete the procedure.There was no patient involvement and no clinically significant delay in the procedure.No additional information was provided.Per device analysis the shaft was noted to be stretched and the account could not confirm if this occurred during the removal of the device from the packaging or during cleaning of the device; however, the stretched shaft is noted to be kinked at the area of the kink shaft.
 
Manufacturer Narrative
A visual inspection was performed on the returned device which identified the proximal end of the sds was stretched.The reported deformation due to compressive stress 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 did not indicate a lot specific quality issue.In this case, it is possible that inadvertent mishandling while removing the device from the protective coil (hoop) contributed to the reported deformation due to compressive stress (kinked shaft) and noted stretching/wrinkling of the shaft; however, this cannot be confirmed.The investigation was unable to determine a conclusive cause for the reported deformation due to compressive stress.There is no indication of a product quality issue with respect to manufacture, design or labeling.
 
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Brand Name
OMNILINK ELITE PERIPHERAL STENT SYSTEM
Type of Device
PERIPHERAL STENT DELIVERY SYSTEM
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005718570 (P099)
cashel road
clonmel tipperary
EI  
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key13227594
MDR Text Key283763039
Report Number2024168-2022-00370
Device Sequence Number1
Product Code NIO
Combination Product (y/n)N
Reporter Country CodeSF
PMA/PMN Number
P110043
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 01/11/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/11/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date07/31/2023
Device Catalogue Number11006-29
Device Lot Number0022041
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/14/2021
Is the Reporter a Health Professional? Yes
Date Manufacturer Received12/21/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured02/20/2020
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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