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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ST. JUDE MEDICAL SWARTZ¿ BRAIDED TRANSSEPTAL GUIDING INTRODUCER SL 1 CURVE, 63 CM LENGTH, 8F; INTRODUCER, CATHETER

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ST. JUDE MEDICAL SWARTZ¿ BRAIDED TRANSSEPTAL GUIDING INTRODUCER SL 1 CURVE, 63 CM LENGTH, 8F; INTRODUCER, CATHETER Back to Search Results
Model Number 407439
Medical Device Problem Code Material Puncture/Hole (1504)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Malfunction
Event or Problem Description
During the procedure, while performing the transseptal puncture, the needle penetrated the dilator and also the sheath in the area of the curvature several times.The needle would come out either distally between the sheath and dilator or laterally in the area of the curvature of the sheath.The needle and the sheath were both replaced with non-abbott devices and the procedure was completed with no adverse consequences to the patient.The needle was not reshaped and the stylet was use.
 
Additional Manufacturer Narrative
One 8f swartz braided introducer sheath was received for evaluation.No anomalies were noted when the returned brk needle/stylet assembly was advanced through the returned sheath/dilator assembly.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the reported needle insertion difficulty remains unknown.
 
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Brand Name
SWARTZ¿ BRAIDED TRANSSEPTAL GUIDING INTRODUCER SL 1 CURVE, 63 CM LENGTH, 8F
Common Device Name
INTRODUCER, CATHETER
Manufacturer (Section D)
ST. JUDE MEDICAL
5050 nathan lane north
plymouth MN 55442
Manufacturer (Section G)
ST. JUDE MEDICAL
5050 nathan lane north
plymouth MN 55442
Manufacturer Contact
wendy mccarty
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key19780034
Report Number3005334138-2024-00312
Device Sequence Number15469025
Product Code DYB
UDI-Device Identifier05414734205634
UDI-Public(01)05414734205634(10)10157519(17)261231
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K052644
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 09/27/2024
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 Model Number407439
Device Catalogue Number407439
Device Lot Number10157519
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/04/2024
Supplement Date Received by Manufacturer08/29/2024
Initial Report FDA Received Date07/18/2024
Supplement Report FDA Received Date09/27/2024
Was Device Evaluated by Manufacturer? (Y/N) Yes
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 Number1
Patient SexUnknown
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