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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 UNK OMNILINK ELITE
Device Problems Difficult to Advance (2920); Device Dislodged or Dislocated (2923)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 07/24/2023
Event Type  malfunction  
Event Description
It was reported that a 10x39mm omnilink elite stent was attempting to advance through a 6f sheath; however, met resistance in the sheath and the stent dislodged in the sheath.The 6f sheath was removed with the dislodged stent and upsized to a 7f sheath.Three more omnilink elite (10x39x80 and two 10x39x135) stents were advanced; however, resistance was noted with the 7fr sheath.All three stents were successfully implanted.There was no adverse patient effects and no clinically significant delay reported.No additional information was provided.
 
Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.B3: date has been estimated.D4: the udi is unknown due to the part/lot number was not provided.The additional omnilink elite devices referenced in b5 are filed under separate medwatch report numbers.
 
Manufacturer Narrative
The incident information was reviewed; however, the product was not returned.A review of the electronic lot history record and similar incident query was not performed because the part/lot numbers were not reported.The investigation was unable to determine a conclusive cause for the reported difficulties.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 Key17551954
MDR Text Key321222435
Report Number2024168-2023-08819
Device Sequence Number1
Product Code NIO
Combination Product (y/n)N
Reporter Country CodeNZ
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,Followup
Report Date 09/08/2023
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 NumberUNK OMNILINK ELITE
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/25/2023
Initial Date FDA Received08/15/2023
Supplement Dates Manufacturer Received08/17/2023
Supplement Dates FDA Received09/08/2023
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
6FR SHEATH.
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