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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL, COSTA RICA LTDA ADVISOR¿ HD GRID MAPPING CATHETER, SENSOR ENABLED¿; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING

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ABBOTT MEDICAL, COSTA RICA LTDA ADVISOR¿ HD GRID MAPPING CATHETER, SENSOR ENABLED¿; CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING Back to Search Results
Model Number D-AVHD-DF16
Medical Device Problem Codes Fracture (1260); Improper or Incorrect Procedure or Method (2017)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/24/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Two images were submitted, no product was received.The returned images appear to show damage to the distal end of the catheter paddle, exposing the nitinol frame.Visual inspection was based solely upon a review of the photographs provided.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.Information from the field indicated that the catheter was removed from an 8 f sheath.Arten600331644 ver b, advisor hd grid instructions for use (ifu) states, "insert the distal tip section of catheter into an 8.5f minimum introducer".The cause of the paddle damage is consistent with not following the instructions for use.
 
Event or Problem Description
During the at procedure, one of the splines was fractured when being removed from the 8 fr sheath.The device was replaced, and the procedure was completed with no adverse consequences to the patient.
 
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Brand Name
ADVISOR¿ HD GRID MAPPING CATHETER, SENSOR ENABLED¿
Common Device Name
CATHETER, ELECTRODE RECORDING, OR PROBE, ELECTRODE RECORDING
Manufacturer (Section D)
ABBOTT MEDICAL, COSTA RICA LTDA
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, COSTA RICA LTDA
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 n
plymouth, MN 55442
6517565400
MDR Report Key22869794
Report Number3008452825-2025-00410
Device Sequence Number9203025
Product Code DRF
UDI-Device Identifier05415067028198
UDI-Public(01)05415067028198(10)10527601(17)270831
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
K202066
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
Report Date (Section B) 08/21/2025
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 NumberD-AVHD-DF16
Device Catalogue NumberD-AVHD-DF16
Device Lot Number10527601
Was Device Available for Evaluation? No
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 07/24/2025
Initial Report FDA Received Date08/21/2025
Date Device Manufactured09/20/2024
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
Patient SexUnknown
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