MAUDE Adverse Event Report: ABBOTT VASCULAR DRAGONFLY¿ OPTIS¿ IMAGING CATHETER; DIAGNOSTIC INTRAVASCULAR CATHETER

Model Number C408646

Device Problems No Display/Image (1183); Difficult to Remove (1528)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 12/12/2022

Event Type  malfunction  

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 indication of a lot specific product quality issue.Based on the information provided, the reported difficulties appear to be due to operational context.It is likely that the patient¿s anatomical condition, as well as the condition of the guidewire being used (kinks/bends), caused the difficulty while attempting to remove the catheter; however, this could not be confirmed.The reported imaging issue could be due to the catheter¿s optical fiber being damaged during insertion/use; however, this could also not be confirmed.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.

Event Description

It was reported that the patient presented with st elevation myocardial infarction with thrombus in the left anterior descending (lad) artery.A non-abbott thrombectomy device was used to remove the thrombus and pre-dilatation was performed using a 2.5 x 30 mm trek neo dilatation catheter.The dragonfly optis imaging catheter was loaded onto the non-abbott guide wire.Difficulty was noted during advancement and the dragonfly optis became stuck on the wire.It was thought that there was contrast on the guide wire and the guide wire was wiped down; however, the resistance continued.During removal from the guide wire, the dragonfly optis catheter stretched and the live image on the screen was lost.A message was displayed "fiber broke.Remove catheter from the doc".The dragonfly optis was able to be removed from the guide wire.One additional attempt was made to reconnect, but no image was displayed.There was no adverse patient effect and no clinically significant delay.A second dragonfly optis was used with the same guide wire.No additional information was provided.

• Brand Name: DRAGONFLY¿ OPTIS¿ IMAGING CATHETER
• Type of Device: DIAGNOSTIC INTRAVASCULAR CATHETER
• Manufacturer (Section D): ABBOTT VASCULAR; 26531 ynez rd.; temecula CA 92591 4628
• Manufacturer (Section G): ABBOTT MEDICAL REG#3009600098; 4 robbins rd; westford MA 01886
• Manufacturer Contact: lindsey bell ; 26531 ynez rd.; temecula, CA 92591-4628 ; 9519143996
• MDR Report Key: 16090157
• MDR Text Key: 306827163
• Report Number: 2024168-2023-00032
• Device Sequence Number: 1
• Product Code: DQO
• UDI-Device Identifier: 00183739000654
• UDI-Public: 00183739000654
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K141769
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional,Company Representative
• Reporter Occupation: Physician
• Type of Report: Initial
• Report Date: 01/03/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/03/2023
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: C408646
• Device Catalogue Number: C408646
• Device Lot Number: 8676254
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 12/12/2022
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 09/28/2022
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: RUNTHROUGH GUIDE WIRE (TERUMO)
• Patient Age: 68 YR
• Patient Sex: Male
• Patient Weight: 88 KG