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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM; SELF EXPANDING PERIPHERAL STENT SYSTEM

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ABBOTT VASCULAR ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM; SELF EXPANDING PERIPHERAL STENT SYSTEM Back to Search Results
Catalog Number 1012530-60
Device Problems Premature Activation (1484); Difficult to Remove (1528); Deformation Due to Compressive Stress (2889)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 10/26/2023
Event Type  malfunction  
Manufacturer Narrative
B3, b6: dates are estimated.Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
 
Event Description
It was reported that during the procedure, the guide wire was in the target lesion and the prepared absolute pro self-expanding stent system (sess) was being advanced over the guide wire, when the stent became exposed [started to deploy] prior to entering the introducer sheath.The sess was then attempted to be removed from the guide wire, however resistance was met and the outer sheath of the sess was noted as bunched up.They decided to deploy the stent on the guide wire in order to remove it.A new absolute pro stent was used successfully for the procedure.There were no reported adverse patient effects and no clinically significant delays in the procedure.No additional information was provided.
 
Manufacturer Narrative
The device was returned for analysis.The reported deformation due to compressive stress was able to be confirmed.The reported premature activation and the reported difficult to remove were unable to be replicated in a testing environment due to the condition of the returned device.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 incidents from this lot.As there was no damage noted to the device during the inspection prior to use, the investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that during advancement onto the guide wire inadvertent mishandling resulted in the reported bunched outer sheath/noted wrinkled sheath, the noted kinked/bunched inner member and the noted smashed/torn tip; thus compromising the device resulting in the reported premature activation and the reported difficult to remove.There is no indication of a product quality issue with respect to manufacture, design or labeling.
 
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Brand Name
ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM
Type of Device
SELF EXPANDING PERIPHERAL STENT SYSTEM
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 2024168
26531 ynez road
temecula CA 92591 4628
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key18162966
MDR Text Key328433346
Report Number2024168-2023-12844
Device Sequence Number1
Product Code NIP
UDI-Device Identifier08717648175718
UDI-Public08717648175718
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
P110028
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 01/22/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/17/2023
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number1012530-60
Device Lot Number3060961
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/03/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/09/2023
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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