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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. ARMADA; PERIPHERAL DILATATION CATHETER

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ABBOTT VASCULAR INC. ARMADA; PERIPHERAL DILATATION CATHETER Back to Search Results
Model Number B1050-040
Medical Device Problem Code Contamination /Decontamination Problem (2895)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/29/2025
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 during the procedural preparation of a 5x40mm armada 35 balloon dilatation catheter (bdc) a hair on the shaft of the device was noted.Therefore the bdc was replaced with a new armada 35 bdc and the procedure was continued.There was no patient involvement nor clinical delay.No additional information was provided.
 
Additional Manufacturer Narrative
Visual inspection was performed on the returned device.The reported complaint was confirmed.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint history identified no other similar complaints from this lot.Based on the reported information and the observations from the returned analysis, a definitive cause for the reported complaint could not be determined.Potential factors that may contribute to contamination (hair) on the device include, but are not limited to, manufacturing and/or handling/exposure during unpackaging of the device.Return device analysis noted the sterile pouch was returned opened which indicates that the device was handled outside of the packaging.Since the device was not returned in its original packed condition, it cannot be confirmed that the contamination occurred at the manufacturing site.In this case, it is possible that the device was either packaged with the reported hair or it became contaminated at the account; however, a conclusive cause cannot be determined.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
Event or Problem Description
The device was received and the contamination was found loose inside the tyvek pouch.It was confirmed by the account that the hair was noted inside the pouch during preparation.No additional information was provided.
 
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Brand Name
ARMADA
Common Device Name
PERIPHERAL DILATATION CATHETER
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 Key22896917
Report Number2024168-2025-09069
Device Sequence Number21078908
Product Code LIT
UDI-Device Identifier08717648154607
UDI-Public(01)08717648154607(17)280430(10)41107G2
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K111899
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
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 10/31/2025
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 NumberB1050-040
Device Catalogue NumberB1050-040
Device Lot Number41107G2
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/08/2025
Supplement Date Received by Manufacturer10/08/2025
Initial Report FDA Received Date08/26/2025
Supplement Report FDA Received Date10/31/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/07/2024
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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