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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿; WIRE, GUIDE, CATHETER

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ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿; WIRE, GUIDE, CATHETER Back to Search Results
Model Number 1009664J
Medical Device Problem Codes Difficult to Remove (1528); Difficult to Advance (2920)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/23/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventive 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 provided, a definitive cause for the reported issues could not be determined.Factors that may contribute to difficult advancing and removing include, but are not limited to, inner diameter of the catheter, outer diameter of the guide wire, device support, buildup of procedural contaminants, challenging anatomy, user technique, and/or damage to the catheter or guide wire.Based on the results of the complaint investigation, there is no indication a product quality issue with respect to manufacture, design or labeling of the device.
 
Event or Problem Description
It was reported the procedure was to treat a moderately calcified and tortuous lesion in he left anterior descending artery.The bmw universal ii guide wire was advanced to the target lesion however when the balloon catheter was advanced over the guide wire it became stuck.Difficulty was met removing the balloon catheter therefore the devices were removed together.The procedure was completed using another balloon catheter and guide wire.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
 
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Brand Name
HI-TORQUE BALANCE MIDDLEWEIGHT¿
Common Device Name
WIRE, GUIDE, CATHETER
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005737652
road no.2 km 58.0 cruce dávila
barceloneta PR 00617
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key23521661
Report Number2024168-2025-11459
Device Sequence Number9955316
Product Code DQX
UDI-Device Identifier08717648118753
UDI-Public(01)08717648118753(11)250528(17)270430(10)5052872
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
K152709
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
Report Date (Section B) 11/11/2025
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 Number1009664J
Device Catalogue Number1009664J
Device Lot Number5052872
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 10/23/2025
Initial Report FDA Received Date11/11/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/28/2025
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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