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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. ABSOLUTE PRO; STENT, ILIAC

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ABBOTT VASCULAR INC. ABSOLUTE PRO; STENT, ILIAC Back to Search Results
Model Number 1012536-80
Medical Device Problem Codes Difficult to Remove (1528); Failure to Advance (2524); Activation Failure (3270)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/19/2025
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
 
Event or Problem Description
It was reported that the procedure was performed to treat a lesion in the internal iliac artery.A 8x80mm absolute pro self-expanding stent (ses) was advanced to the target lesion when the device felt "restricted" [resistance]; therefore, the ses could not be implanted.The device was difficult to remove so the decision was made to disassemble the handle and everything was removed as a single unit.There were no adverse patient effects nor clinical delay.No additional information was provided.
 
Additional Manufacturer Narrative
The device was returned for analysis.The reported activation failure was unable to be replicated in a testing environment due to the condition of the returned device.The reported failure to advance and the reported difficult to remove were unable to be replicated in a testing environment as they were based on operational circumstances.Production record and corrective and preventive actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint handling database identified no other incidents from this lot.As there was no damage noted to the device during the inspection prior to use, it is possible that interaction with the anatomy and/or other devices resulted in the reported failure to advance and the reported difficult to remove; however this cannot be confirmed.Additionally, it is possible that interaction with the anatomy resulted in preventing the shaft lumens from moving freely; thus resulting in the reported activation/deployment failure.However this cannot be confirmed.The investigation determined a conclusive cause for the reported difficulties cannot be determined.Based on the reported information and results of the complaint investigation there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
Event or Problem Description
Subsequent to the initially filed report, the device was received and the return analysis revealed that the luer was separated and not returned, and a partial separation was noted at the outer member-stent sheath bond area.The account confirmed the correct device was returned; however could not provided information on if they were aware of the additional damages.No additional information was provided.
 
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Brand Name
ABSOLUTE PRO
Common Device Name
STENT, ILIAC
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
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 Key22460160
Report Number2024168-2025-07040
Device Sequence Number20970074
Product Code NIO
UDI-Device Identifier08717648176166
UDI-Public(01)08717648176166(17)270731(10)4081961
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
P110028
Number of Events Summarized1
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) 08/08/2025
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? No
Operator of Device Health Professional
Device Model Number1012536-80
Device Catalogue Number1012536-80
Device Lot Number4081961
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/07/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/19/2025
Supplement Date Received by Manufacturer07/21/2025
Initial Report FDA Received Date07/09/2025
Supplement Report FDA Received Date08/08/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/19/2024
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 Required Intervention;
Patient SexUnknown
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