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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL INQUIRY¿ ELECTROPHYSIOLOGY CATHETERS, DECAPOLAR, 6F; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING

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ABBOTT MEDICAL INQUIRY¿ ELECTROPHYSIOLOGY CATHETERS, DECAPOLAR, 6F; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING Back to Search Results
Model Number IBI-81102
Medical Device Problem Code Use of Device Problem (1670)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/16/2025
Type of Reportable Event Malfunction
Event or Problem Description
This report is to advise of a catheter used in the patient past the expiration date.
 
Additional Manufacturer Narrative
Additional information: d9, g3, h2, h3, h6, h11 one decapolar, inquiry steerable diagnostic catheter was received for evaluation.The device was returned for a deflection issue and device damage.The reported deflection issue could not be confirmed.The catheter shaft deflected when actuating the steering mechanism and deflected in the correct shape according to specifications.The reported device damage was confirmed; the catheter shaft was found to be bent proximal to the distal tip.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the deflection issue remains unknown.
 
Event or Problem Description
This report is to advise of a catheter used in the patient past the expiration date.
 
Additional Manufacturer Narrative
Corrected information: h2, h3.
 
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Brand Name
INQUIRY¿ ELECTROPHYSIOLOGY CATHETERS, DECAPOLAR, 6F
Common Device Name
CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING
Manufacturer (Section D)
ABBOTT MEDICAL
parque industrial, zona franca coyol s.a.
edificio #44b, calle 0, avenida 2, coyol
alajuela, costa rica 1897- 4050
CS  1897-4050
Manufacturer (Section G)
ABBOTT MEDICAL
parque industrial, zona franca coyol s.a.
edificio #44b, calle 0, avenida 2, coyol
alajuela, costa rica 1897- 4050
CS   1897-4050
Manufacturer Contact
wendy mccarty
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key22774590
Report Number3008452825-2025-00394
Device Sequence Number9341773
Product Code DRF
UDI-Device Identifier05414734302968
UDI-Public(01)05414734302968(10)8552613(17)250630
Combination Product (Y/N)N
Initial Reporter CountryAS
PMA/510(K) Number
K961924
Number of Events Summarized1
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,Followup,Followup
Report Date (Section B) 09/19/2025
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 Date06/30/2025
Device Model NumberIBI-81102
Device Catalogue NumberIBI-81102
Device Lot Number8552613
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 07/16/2025
Supplement Date Received by Manufacturer08/20/2025
09/19/2025
Initial Report FDA Received Date08/11/2025
Supplement Report FDA Received Date09/19/2025
09/19/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured07/06/2022
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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