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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR ARMADA 14 PTA CATHETER; PERIPHERAL DILATATION CATHETER

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ABBOTT VASCULAR ARMADA 14 PTA CATHETER; PERIPHERAL DILATATION CATHETER Back to Search Results
Model Number A2020-120
Device Problems Inflation Problem (1310); Material Rupture (1546)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 01/07/2021
Event Type  malfunction  
Manufacturer Narrative
Visual and functional analysis was performed on the returned device.The reported inflation issue and balloon rupture were confirmed.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 identified no other incidents.The investigation determined that the reported difficulties were likely due to case related circumstances.It is likely that the balloon rupture occurred due to interaction with calcification or associated devices during use.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.Na.
 
Event Description
It was reported that the procedure was performed to treat a lesion in the anterior tibial artery.A 2x120mm armada 14 percutaneous transluminal angioplasty (pta) was advanced without resistance.The balloon completely failed to inflate while losing pressure as a balloon rupture was noted.A 2.5x60mm armada 14 pta was advanced, and the balloon partially inflated only up to 4 atmospheres but was also losing pressure as a pinhole balloon rupture was noted.A 2x60mm armada balloon was used to successfully complete the procedure.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
 
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Brand Name
ARMADA 14 PTA CATHETER
Type of Device
PERIPHERAL DILATATION CATHETER
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 Key11388439
MDR Text Key238603863
Report Number2024168-2021-01524
Device Sequence Number1
Product Code DQY
UDI-Device Identifier08717648155987
UDI-Public08717648155987
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K102705
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,health
Reporter Occupation Physician
Type of Report Initial
Report Date 02/26/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received02/26/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date06/30/2023
Device Model NumberA2020-120
Device Catalogue NumberA2020-120
Device Lot Number0013141
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/01/2021
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/11/2021
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured01/31/2020
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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