MAUDE Adverse Event Report: ABBOTT VASCULAR ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM; SELF EXPANDING PERIPHERAL STENT SYSTEM

Model Number	1012538-40
Medical Device Problem Codes	Difficult to Insert (1316); Premature Activation (1484)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	05/24/2022
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
It is unknown if the device is returning for analysis.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.The other absolute pro self-expanding stent system (sess) referenced is filed under a separate medwatch report number.
Event or Problem Description
It was reported that the procedure was to treat a lesion in the distal superficial femoral artery (sfa) with moderate calcification and high at target lesion and moderate tortuosity.The 10.0x100mm absolute pro self-expanding stent system (sess) was advanced to the target lesion and the stent was attempted to be deployed; however, the thumbwheel of the sess was stuck.While attempting to remove the sess, the stent flowered approximately 2cm into the sheath.The sheath was pulled back; however the stent remained in the patient in the iliac bifurcation and partially in the target lesion.Then a second 10.0 x 40mm absolute pro sess was attempted to be advanced to treat the target lesion; however, it was noted that the first stent was deployed, partially in the introducer sheath.Therefore, the 10.0x40mm absolute pro failed to be inserted into the vessel, so the device was removed from the patient and the stent deployed outside the patient.The procedure was aborted since the lesion had been previously dilated.There was a delay in procedure resulting in increased anticoagulation time as well as the inability to treat the lesion.No additional information has been provided.
Event or Problem Description
Subsequent to the initially filed report, the following information was received: the second absolute pro sess did not fully deploy outside the patient; although the stent did flower outside the patient.The second absolute pro sess was discarded by the facility.In addition it was reported that the patient was stable after the procedure was aborted.No additional information has been provided.
Additional Manufacturer Narrative
The device was not returned for analysis.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 from this lot.The investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that due to the first stent being stuck partially in the sheath the 10.0 x 40mm absolute pro sess failed to reach the target lesion resulting in the reported difficult to insert.Interaction/manipulation of the device resulted in the reported premature activation outside of the anatomy.There is no indication of a product quality issue with respect to manufacture, design or labeling.

• Brand Name: ABSOLUTE PRO VASCULAR SELF-EXPANDING STENT SYSTEM
• Common Device Name: SELF EXPANDING PERIPHERAL STENT SYSTEM
• 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 Key: 14700961
• Report Number: 2024168-2022-06431
• Device Sequence Number: 2264709
• Product Code: NIP
• UDI-Device Identifier: 08717648176289
• UDI-Public: 08717648176289
• Combination Product (Y/N): N
• Initial Reporter State: TX
• Initial Reporter Country: US
• PMA/510(K) Number: P110028
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 08/05/2022

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
• Operator of Device: Health Professional
• Device Expiration Date: 09/30/2024
• Device Model Number: 1012538-40
• Device Catalogue Number: 1012538-40
• Device Lot Number: 1101961
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Follow-Up
• Initial Date Received by Manufacturer: 05/24/2022
• Supplement Date Received by Manufacturer: 07/21/2022
• Initial Report FDA Received Date: 06/15/2022
• Supplement Report FDA Received Date: 08/05/2022
• Was Device Evaluated by Manufacturer? (Y/N): Device Not Returned to Manufacturer
• Date Device Manufactured: 10/19/2021
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Age: 76 YR
• Patient Sex: Male