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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL Amplatzer Duct Occluder II; Occluder, Patent Ductus, Arteriosus

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ABBOTT MEDICAL Amplatzer Duct Occluder II; Occluder, Patent Ductus, Arteriosus Back to Search Results
Model Number 9-PDA2-06-06
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 10/14/2025
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 06-06mm amplatzer ado ii occluder was chosen for implant using an abbott delivery system.During the procedure, while implanting, it was noted that the device did not hold it shape after opening and deformed, therefore the deformed device was retracted back into the delivery system.The deformed device was never released from the delivery cable.There was no interaction with the cardiac structures during deployment and no angulation/kink were noticed in the delivery system.The patient was referred for cardiac surgery for operation.The patient remained hemodynamically stable throughout the procedure.There was no clinically significant delay in procedure and no adverse patient effects.
 
Additional Manufacturer Narrative
An event of device deformity could not be confirmed.The device was returned to abbott for investigation and the device met functional specifications when analyzed under non-physiological conditions.One image was received from the field of the deformed device outside of the patient.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed and the product met all specifications.The cause of the reported incident could not be conclusively determined.There were no complaints associated with any other devices from the lot.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.
 
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Brand Name
Amplatzer Duct Occluder II
Common Device Name
Occluder, Patent Ductus, Arteriosus
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
Abbott Medical Reg# 2135147
5050 nathan ln n
plymouth MN 55442
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
+1(651)756-5400
MDR Report Key23708815
Report Number2135147-2025-07104
Device Sequence Number21512969
Product Code MAE
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P020024
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2025
Device Explanted Year2025
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,Followup
Report Date (Section B) 08/03/2026
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 Number9-PDA2-06-06
Device Catalogue Number9-PDA2-06-06
Device Lot Number10301311
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/02/2026
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 11/07/2025
Supplement Date Received by Manufacturer01/09/2026
07/08/2026
Initial Report FDA Received Date12/03/2025
Supplement Report FDA Received Date01/20/2026
08/03/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured04/16/2024
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
Outcome Attributed to Adverse Event Required Intervention;
Patient SexUnknown
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