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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. ARMADA; PERIPHERAL DILATATION CATHETER

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ABBOTT VASCULAR INC. ARMADA; PERIPHERAL DILATATION CATHETER Back to Search Results
Model Number A1040-020
Medical Device Problem Codes Difficult to Remove (1528); Material Rupture (1546); Material Separation (1562)
Health Effect - Clinical Code Device Embedded In Tissue or Plaque (3165)
Date of Event 02/09/2025
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that the procedure was to treat a heavily calcified internal mesenteric artery (ima).A.014 supracore guide wire was placed in the ima.A 3x20mm armada 14 balloon was used to pre-dilated the lesion; however, did not open the lesion enough.The 5.0x18mm herculink stent was attempted to be advanced, but failed to cross due to anatomy.A 4.0x40mm armada 14 balloon was advanced without issue; however, once inflated the balloon ruptured at nominal pressure and removed from the anatomy without issue.A new 4x20mm armada 14 balloon was advanced and once at the target site inflated to nominal pressure; however, ruptured.During removal of the armada 14 balloon resistance was felt with anatomy; however, with gentle tug the device was able to be removed.Under fluoroscopy the distal tip of the balloon was observed on the wire and on removal of the device the tip was noted to remain jailed by the stent.A 3.0x40mm, 4.0x40mm armada 14, other unspecified balloon and with the same 5.0x18mm herculink stent was re-inserted and used to successfully complete the procedure.There was no adverse patient sequela and no clinically significant delay in the procedure.No additional information was provided.
 
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint history identified no other similar complaints from this lot.The investigation determined the reported complaints appear to be related to operational context.There was no damage noted to the bdc during inspection prior to use or leak noted during preparation, which suggests a product quality issue did not contribute to the reported difficulties.Based on the reported information, it is likely that the balloon interaction with the heavily calcified anatomy such that the balloon ruptured during inflation.Additionally, it is likely that the device interacted with the patient¿s challenging anatomy resulting in the reported difficulty removing the device and subsequently as the physician tugged on the device, the device ultimately separated.Additional treatment was performed to remove the departed portion of the device and the tip was noted to remain jailed by the stent.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.The additional devices referenced in b5 are filed under separate medwatch report numbers.
 
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Brand Name
ARMADA
Common Device Name
PERIPHERAL DILATATION CATHETER
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
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 Key21537669
Report Number2024168-2025-02366
Device Sequence Number12696672
Product Code DQY
UDI-Device Identifier08717648155840
UDI-Public(01)08717648155840(17)250531(10)1121541
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K102705
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/06/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Expiration Date05/31/2025
Device Model NumberA1040-020
Device Catalogue NumberA1040-020
Device Lot Number1121541
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 02/10/2025
Initial Report FDA Received Date03/06/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/15/2021
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 Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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