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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR G4 STEERABLE GUIDING CATHETER; CATHETER, STEERABLE

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ABBOTT VASCULAR G4 STEERABLE GUIDING CATHETER; CATHETER, STEERABLE Back to Search Results
Catalog Number SGC0702
Device Problems Leak/Splash (1354); Product Quality Problem (1506)
Patient Problems Insufficient Information (4580); No Clinical Signs, Symptoms or Conditions (4582)
Event Date 03/04/2021
Event Type  malfunction  
Manufacturer Narrative
The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
 
Event Description
This is being filed to report the steerable guide catheter leak during preparation.It was reported that during preparation of the steerable guide catheter (sgc) it failed to hold column, the rubber lip did not hold tight, so air got into the system.The three-way stopcock closed and connected correctly.There was no visible damage to the rubber lip.The sgc was tested three times but was unsuccessful; therefore, the sgc was not used in the procedure.No additional information was provided.
 
Manufacturer Narrative
All available information was investigated and the reported steerable guide catheter (sgc) leak was not confirmed.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot.Additionally, a review of the complaint history identified no other complaints from the lot.All available information was investigated and a cause for the reported leak and inadequate valve seal in this complaint could not be determined.The returned device analysis was unable to confirm the reported issues.There is no indication of a product issue with respect to manufacture, design or labeling.Na.
 
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Brand Name
G4 STEERABLE GUIDING CATHETER
Type of Device
CATHETER, STEERABLE
Manufacturer (Section D)
ABBOTT VASCULAR
26531 ynez rd.
temecula CA 92591 4628
MDR Report Key11581965
MDR Text Key243921830
Report Number2024168-2021-02468
Device Sequence Number1
Product Code DRA
Combination Product (y/n)N
PMA/PMN Number
K190167
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 06/03/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/29/2021
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date09/11/2021
Device Catalogue NumberSGC0702
Device Lot Number00912U149
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer04/27/2021
Date Manufacturer Received05/12/2021
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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