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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR 20/30 PRIORITY PACK INDEFLATOR; ACCESSORIES

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ABBOTT VASCULAR 20/30 PRIORITY PACK INDEFLATOR; ACCESSORIES Back to Search Results
Catalog Number 1003327
Device Problems Leak/Splash (1354); Material Separation (1562)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/09/2024
Event Type  malfunction  
Event Description
Canada vigilance report (1088710) received stating: nursing staff had been having problems with the abbott indeflator.We had added a lot of new members to our team and our team leads thought that the complaints of the pressure slipping and the device coming apart were due to operator error as we have used the abbott indeflators many years without issue.During a stemi call in on feb 9.
 
Manufacturer Narrative
D4 - a partial udi was provided as the lot number is not known.The device was not returned for analysis.A corrective and preventive actions (capa) review was performed and revealed no indication of a product quality issue.Additionally, a review of the complaint handling database could not be conducted because the lot number was not provided.As the device was not returned for analysis the investigation was unable to determine a conclusive cause for the reported leak difficulties.Based on the reported information and results of the complaint investigation 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
20/30 PRIORITY PACK INDEFLATOR
Type of Device
ACCESSORIES
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 Key19209907
MDR Text Key341353549
Report Number2024168-2024-05252
Device Sequence Number1
Product Code MAV
Combination Product (y/n)N
Reporter Country CodeCA
PMA/PMN Number
K961471
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 04/29/2024
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 Number1003327
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 04/10/2024
Initial Date FDA Received04/29/2024
Was Device Evaluated by Manufacturer? No
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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