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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR HI-TORQUE COMMAND 18 GUIDE WIRE

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ABBOTT VASCULAR HI-TORQUE COMMAND 18 GUIDE WIRE Back to Search Results
Catalog Number 1013785
Device Problem Peeled/Delaminated (1454)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/29/2023
Event Type  malfunction  
Manufacturer Narrative
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 the ht command 18 guidewire was used in an unspecified procedure with a non-abbott 4 fr guide catheter; however, during removal the polymer coating became loose [peeling] from the tip.There was no adverse patient effect and no clinically significant delay reported in the procedure.No additional information was provided.
 
Manufacturer Narrative
The incident information was reviewed; however, the product was not returned to abbott vascular for analysis.A review of the electronic lot history record (elhr), corrective action tracking system for the web (catsweb) database review, and similar incident query was not performed because the lot number was not provided.The investigation was unable to determine a conclusive cause for the reported peeled / delaminated.There is no indication of a product quality issue with respect to manufacture, design, or labeling.
 
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Brand Name
HI-TORQUE COMMAND 18 GUIDE WIRE
Type of Device
GUIDE WIRE
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 Key18426815
MDR Text Key331859199
Report Number2024168-2024-00006
Device Sequence Number1
Product Code DQX
Combination Product (y/n)N
Reporter Country CodeNL
PMA/PMN Number
K152404
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,Followup
Report Date 02/09/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/02/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue Number1013785
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received01/24/2024
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
4.0 FR BENTLEY BEBACK CATHETER
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