MAUDE Adverse Event Report: ABBOTT VASCULAR ARMADA 35 PTA CATHETER PERIPHERAL DILATATION CATHETER

Model Number B2080-040

Device Problems Entrapment of Device (1212); Difficult to Remove (1528); Material Rupture (1546); Material Separation (1562)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 03/16/2022

Event Type  Injury  

Event Description

It was reported that the procedure was to treat a heavily calcified, mildly tortuous, de novo lesion in the right common femoral artery. After an unspecified stent was implanted in the right common femoral artery, post-dilatation was being performed with an 8x40mm armada 35 balloon dilatation catheter (bdc), when the balloon ruptured due to the heavy calcification at the lesion. The bdc was then being removed from the anatomy when it became stuck with the tip of the sheath. It was decided that the bdc and sheath would be removed from the lesion as a single unit, however the balloon became stuck in calcium, while the sheath was removed intact. The bdc became separated, and the tip of the device was left inside the vessel. The patient was put under general anesthesia (ga), and a cut down procedure was performed to successfully remove the ruptured balloon from the anatomy. There was no adverse patient sequela, however there was a reported clinically significant delay due to the cut down procedure. No additional information was provided.

Manufacturer Narrative

The device is expected to be returned for evaluation. It has not yet been received. A follow-up report will be submitted with all additional relevant information.

• Brand Name: ARMADA 35 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 COSTA RICA, REG # 3009564766; 52 calle 3 b31 coyol free zone; el coyol alajuela ; CS
• Manufacturer Contact: lindsey bell ; 26531 ynez rd.; temecula, CA 92591-4628 ; 9519143996
• MDR Report Key: 14017391
• MDR Text Key: 288786218
• Report Number: 2024168-2022-03579
• Device Sequence Number: 1
• Product Code: LIT
• Combination Product (y/n): N
• Reporter Country Code: AS
• PMA/PMN Number: K111899
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Health Professional,Company Representative

Reporter Occupation

• Type of Report: Initial
• Report Date: 04/05/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/05/2022
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes

Device Operator

• Device Model Number: B2080-040
• Device Catalogue Number: B2080-040
• Device Lot Number: 10819G1
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 03/16/2022
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Date Device Manufactured: 08/19/2021
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial

Patient Treatment Data

Date Received: 04/05/2022 Patient Sequence Number: 1