MAUDE Adverse Event Report: ABBOTT MEDICAL AMPLATZER SEPTAL OCCLUDER; TRANSCATHETER SEPTAL OCCLUDER

Model Number	9-ASD-009
Medical Device Problem Code	Difficult to Fold, Unfold or Collapse (1254)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	08/21/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
Event or Problem Description
It was reported that on (b)(6) 2025, a 9mm amplatzer septal occluder was chosen using an unknown abbott delivery system.During the procedure, the occluder took form of a cobra deformation, the physician removed, rinsed and tried to implant the occluder, which again took form of a cobra deformation.It was noted that the deformed device was never released from the delivery cable while inside the patient.It was also observed that there were no interaction with the cardiac structures during deployment and no angulation/kink in the delivery system.A new 8mm amplatzer septal occluder was used to complete the procedure.It was also reported that there was no clinically significant delay and the patient remained hemodynamically stable throughout the procedure.
Additional Manufacturer Narrative
An event of device deformity could not be confirmed.Imaging was received from the field showing the device deploying in a cobra-like deformation.The device was returned to abbott for investigation and the device met functional specifications when analyzed under non-physiological conditions.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all specifications.Additionally, the lot was reviewed for similar complaints, and there is no indication of a lot-specific product issue.The cause of the reported device deformity could not be conclusively determined.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.
Event or Problem Description
It was reported that on (b)(6) 2025, a 9mm amplatzer septal occluder was chosen using an unknown abbott delivery system.During the procedure, the occluder took form of a cobra deformation, the physician removed, rinsed and tried to implant the occluder, which again took form of a cobra deformation.It was noted that the deformed device was never released from the delivery cable while inside the patient.It was also observed that there were no interaction with the cardiac structures during deployment and no angulation/kink in the delivery system.A new 8mm amplatzer septal occluder was used to complete the procedure.It was also reported that there was no clinically significant delay and the patient remained hemodynamically stable throughout the procedure.

• Brand Name: AMPLATZER SEPTAL OCCLUDER
• Common Device Name: TRANSCATHETER SEPTAL OCCLUDER
• Manufacturer (Section D): ABBOTT MEDICAL; 5050 nathan lane n; plymouth MN 55442
• Manufacturer (Section G): ST. JUDE MEDICAL #3014918977; edificio #44 calle 0, ave. 2; el coyol alajuela 1897- 4050; CS 1897-4050
• Manufacturer Contact: karen krouse ; 5050 nathan lane n; plymouth, MN 55442 ; 6517565400
• MDR Report Key: 23059852
• Report Number: 2135147-2025-05223
• Device Sequence Number: 13199631
• Product Code: MLV
• UDI-Device Identifier: 00811806010069
• UDI-Public: (01)00811806010069(17)271031(10)8776554
• Combination Product (Y/N): N
• Initial Reporter Country: PL
• PMA/510(K) Number: P000039
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2025
• Device Explanted Year: 2025
• 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): 05/01/2026

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: 9-ASD-009
• Device Catalogue Number: 9-ASD-009
• Device Lot Number: 8776554
• 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: 08/21/2025
• Supplement Date Received by Manufacturer: 04/27/2026
• Initial Report FDA Received Date: 09/15/2025
• Supplement Report FDA Received Date: 05/01/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 11/25/2022
• 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 Number: 1
• Patient Sex: Unknown