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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, LARGE CURL, 13F; INTRODUCER, CATHETER

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ABBOTT MEDICAL AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, LARGE CURL, 13F; INTRODUCER, CATHETER Back to Search Results
Model Number SI-1371-L
Medical Device Problem Code Gas/Air Leak (2946)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
During an atrial fibrillation ablation procedure, the valve from the 13f agilis was leaking following transeptal.The sheath was exchanged and the procedure was completed without any adverse consequences to the patient.
 
Additional Manufacturer Narrative
Additional information: d9, g3, h2, h3, h6 one 13f agilis steerable introducer sheath and dilator were received for evaluation.Functional testing confirmed a leak in the hemostasis valve.The cap was removed from the hemostasis hub and the hemostasis seal was microscopically inspected.Tearing was noted in the side wall of the seal.A tear was also noted in the distal face of the seal, at both ends of the seal slit.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the tear in the distal face of the seal remains unknown.A corrective action was initiated to investigate the failure mode of the agilis leak.
 
Additional Manufacturer Narrative
Additional information: b5, g3, h2, h6.One 13f agilis steerable introducer sheath and dilator were received for evaluation.Functional testing confirmed a leak in the hemostasis valve.The cap was removed from the hemostasis hub and the hemostasis seal was microscopically inspected.Tearing was noted in the side wall of the seal, consistent with a design-related issue, and on the slit of the seal, for which the cause remains unknown.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.
 
Event or Problem Description
This follow-up report includes updated investigation conclusion information and updated investigation conclusion coding.
 
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Brand Name
AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, LARGE CURL, 13F
Common Device Name
INTRODUCER, CATHETER
Manufacturer (Section D)
ABBOTT MEDICAL
14901 deveau place
minnetonka MN 55345
Manufacturer (Section G)
ABBOTT MEDICAL
14901 deveau place
minnetonka MN 55345
Manufacturer Contact
wendy mccarty
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key22175842
Report Number2182269-2025-00035
Device Sequence Number7799155
Product Code DYB
UDI-Device Identifier05415067051844
UDI-Public(01)05415067051844(10)10793133(17)280229
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K243493
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup
Report Date (Section B) 02/13/2026
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 Model NumberSI-1371-L
Device Catalogue NumberSI-1371-L
Device Lot Number10793133
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 06/09/2025
Supplement Date Received by Manufacturer07/10/2025
02/04/2026
Initial Report FDA Received Date06/10/2025
Supplement Report FDA Received Date07/10/2025
02/13/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured03/28/2025
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 Age72 YR
Patient SexMale
Patient Weight80 KG
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