| Brand Name | SWARTZ¿ BRAIDED TRANSSEPTAL GUIDING INTRODUCER, LAMP¿ 45, 63 CM LENGTH, 8F |
| Common Device Name | Introducer, catheter |
| Manufacturer (Section D) |
| ABBOTT MEDICAL |
| 5050 nathan lane north |
| plymouth MN 55442 |
|
| Manufacturer (Section G) |
| ABBOTT MEDICAL |
| 5050 nathan lane north |
|
| plymouth MN 55442 |
|
| Manufacturer Contact |
|
wendy
mccarty
|
| 5050 nathan lane n |
| plymouth, MN 55442
|
|
6517565400
|
|
| MDR Report Key | 22469158 |
| Report Number | 3005334138-2025-00421 |
| Device Sequence Number | 17174072 |
| Product Code |
DYB
|
| UDI-Device Identifier | 05414734205559 |
| UDI-Public | (01)05414734205559(10)10727064(17)280131 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | FR |
| PMA/510(K) Number | K052644 |
| Number of Events Summarized | 1 |
| 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 |
| Report Date (Section B) |
07/10/2025 |
| 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? |
Yes
|
| Operator of Device |
Health Professional
|
| Device Model Number | 407360 |
| Device Catalogue Number | 407360 |
| Device Lot Number | 10727064 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 05/22/2025 |
| 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 | 06/30/2025 |
| Initial Report FDA Received Date | 07/10/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 02/18/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|