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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL MITRACLIP G4 CLIP DELIVERY SYSTEM (MDD); MITRAL VALVE REPAIR DEVICES

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ABBOTT MEDICAL MITRACLIP G4 CLIP DELIVERY SYSTEM (MDD); MITRAL VALVE REPAIR DEVICES Back to Search Results
Catalog Number CDS0702-XTW
Device Problem Difficult to Open or Close (2921)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/09/2024
Event Type  malfunction  
Event Description
It was reported this was a mitraclip procedure to treat degenerative mitral regurgitation (mr) with a grade of 4.One xt clip was inserted and successfully implanted.To further reduce mr, a second xtw clip was inserted.However, while simultaneously lowering the grippers in the left atrium (la), one of the grippers would not lower.Therefore, the clip was removed and replaced.The procedure was continued, and a new xtw clip was successfully deployed, reducing mr to a grade of <1.There were no adverse patient effects and no clinically significant delay in the procedure.
 
Manufacturer Narrative
Returned device analysis did not confirm the reported single gripper actuation issue (difficult to open or close).A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to the reported event.A review of the complaint history did not indicate a lot-specific product issue.Based on information provided and the results of the returned device analysis (unable to confirm the reported issue), a cause for the reported difficult to open or close associated with a single gripper actuation issue during procedure could not be determined.There is no indication of a product issue with respect to manufacture, design or labeling.
 
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Brand Name
MITRACLIP G4 CLIP DELIVERY SYSTEM (MDD)
Type of Device
MITRAL VALVE REPAIR DEVICES
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005070406
3885 bohannon drive
menlo park CA 94025
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key18622687
MDR Text Key334367729
Report Number2135147-2024-00443
Device Sequence Number1
Product Code NKM
Combination Product (y/n)N
Reporter Country CodeFR
PMA/PMN Number
P100009
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
Report Date 02/01/2024
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 NumberCDS0702-XTW
Device Lot Number30919R1115
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/23/2024
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/09/2024
Initial Date FDA Received02/01/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured09/19/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
IMPLANTED MITRACLIP; STEERABLE GUIDE CATHETER
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