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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL ADVISOR¿ HD GRID X¿ MAPPING CATHETER, SENSOR ENABLED¿; Catheter, intracardiac mapping, high-density array

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ABBOTT MEDICAL ADVISOR¿ HD GRID X¿ MAPPING CATHETER, SENSOR ENABLED¿; Catheter, intracardiac mapping, high-density array Back to Search Results
Model Number D-AVHDX-DF16
Medical Device Problem Code Material Deformation (2976)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/05/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
One bi-directional, curve d-f, sensor enabled, advisor hd grid x mapping catheter was received for evaluation.Spline a tubing was found to be damaged; nitinol frame was exposed where the tubing was damaged and raised.The electrodes, sensors, eeprom and jumper met specifications for acceptable resistance values, and continuity was detected across the eeprom.No open or short circuits were detected.Additionally, the catheter was successfully connected to and recognized by an ensite x system.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the reported event remains unknown.
 
Event or Problem Description
This report is to advise of material deformation found on the catheter during investigation.
 
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Brand Name
ADVISOR¿ HD GRID X¿ MAPPING CATHETER, SENSOR ENABLED¿
Common Device Name
Catheter, intracardiac mapping, high-density array
Manufacturer (Section D)
ABBOTT MEDICAL
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
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 north
plymouth, MN 55442
6517565400
MDR Report Key23918770
Report Number3008452825-2025-00670
Device Sequence Number8909596
Product Code MTD
UDI-Device Identifier05415067049889
UDI-Public(01)05415067049889(10)11019696(17)260831
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K241372
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 12/29/2025
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 Expiration Date08/31/2026
Device Model NumberD-AVHDX-DF16
Device Catalogue NumberD-AVHDX-DF16
Device Lot Number11019696
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer11/14/2025
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 12/03/2025
Initial Report FDA Received Date12/29/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/01/2025
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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