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U.S. Department of Health and Human Services

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

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ABBOTT VASCULAR DRAGONFLY¿ OPTIS¿ IMAGING CATHETER; DIAGNOSTIC INTRAVASCULAR CATHETER Back to Search Results
Catalog Number C408646
Device Problem Defective Device (2588)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/01/2023
Event Type  malfunction  
Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.B3: estimated date b6: estimated date na.
 
Event Description
It was reported the dragonfly optis imaging catheter is apparently too long compared to other probes.The distance between the markers do not comply with the official technical sheet.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 did not indicate a lot specific quality issue.The investigation was unable to determine a cause for the reported defective device (catheter appeared too long).It is likely that the account is referencing an image within the instructions for use (ifu) which depicts a catheter exploded view and nominal measurements.The ifu explicitly states that the measurements are nominal and therefore not precise.Furthermore, the measurements shown within the ifu do not include tolerances so an accurate/precise judgement about length cannot be determined.The dragonfly was not returned to verify the reported issue.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
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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 Key17470604
MDR Text Key320707249
Report Number2024168-2023-08505
Device Sequence Number1
Product Code DQO
UDI-Device Identifier00183739000654
UDI-Public00183739000654
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
K141769 
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 08/24/2023
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 Catalogue NumberC408646
Device Lot Number9032875
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/20/2023
Initial Date FDA Received08/07/2023
Supplement Dates Manufacturer Received08/15/2023
Supplement Dates FDA Received08/24/2023
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured05/17/2023
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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