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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. NC TREK NEO¿; CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS

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ABBOTT VASCULAR INC. NC TREK NEO¿; CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS Back to Search Results
Model Number 1400250-15
Medical Device Problem Codes Peeled/Delaminated (1454); Failure to Advance (2524); Material Split, Cut or Torn (4008)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/20/2025
Type of Reportable Event Malfunction
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 heavily calcified and moderately tortuous lesion in the right coronary artery (rca).A 2.5x15mm nc trek neo rx balloon dilatation catheter (bdc) was attempted to be advanced into the lesion; however, failed to cross due to the anatomy.Following several failed attempts to cross with the bdc, the bdc was removed and it was noted that balloon had peeled back and torn.A 2.0x15mm and a 2.5x13mm non-abbott balloon were used and the lesion was treated with a 3.0x48mm xience skypoint drug eluting stent (des), completing the procedure.There were no adverse patient effects nor clinical delay reported.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 query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.Based on the information received, the investigation determined that the reported complaints appear to be related to operational context.It was reported that the balloon dilatation catheter (bdc) interacted with the moderately tortuous and heavily calcified anatomy resulting in the reported failure to advance.Several attempts were made in an attempt to advance the device but were unsuccessful.In this case, it is likely that upon manipulation of the device, against the reported difficulty, the balloon/tip ultimately peeled back and tore.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
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Brand Name
NC TREK NEO¿
Common Device Name
CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
Manufacturer (Section G)
ABBOTT VASCULAR COSTA RICA, REG # 3009564766
52 calle 3 b31 coyol free zone
el coyol alajuela UNK
CS   UNK
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key22511332
Report Number2024168-2025-07257
Device Sequence Number15650545
Product Code LOX
UDI-Device Identifier08717648232411
UDI-Public(01)08717648232411(17)260430(10)30529G1
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K220634
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,Distributor
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 08/28/2025
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 Expiration Date04/30/2026
Device Model Number1400250-15
Device Catalogue Number1400250-15
Device Lot Number30529G1
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 06/20/2025
Supplement Date Received by Manufacturer08/12/2025
Initial Report FDA Received Date07/15/2025
Supplement Report FDA Received Date08/28/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/29/2023
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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