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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. SUPERA; STENT, SUPERFICIAL FEMORAL ARTERY

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ABBOTT VASCULAR INC. SUPERA; STENT, SUPERFICIAL FEMORAL ARTERY Back to Search Results
Model Number S-45-120-120-P6
Medical Device Problem Code Difficult or Delayed Activation (2577)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/15/2026
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 review of the complaint handling database identified no other incidents from this lot.As there was no damage noted to the device during the inspection prior to use, it is likely that the distal sheath of the delivery system was entrapped or bent in the mildly calcified, mildly tortuous and 80% stenosed anatomy such that the ratchet was unable to completely deploy the stent resulting in the reported difficult or delayed activation.Based on the reported information and results of the complaint investigation there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
Event or Problem Description
It was reported was that the procedure was to treat an 80% stenosed de novo lesion in the popliteal artery with mild calcification and mild tortuosity.The 4.5x120mm supera self-expanding stent system (sess) was advanced to the target lesion and the thumbslide was pushed and the stent was released; however, the stent failed to detach from the delivery system.The thumbslide was moved multiple times and the system relocked and unlocked.Ultimately, the stent was detached by gently shaking the delivery system.The stent was implanted to treat the target lesion.There was no adverse patient effect and no clinically significant delay reported in the procedure.No additional information was provided.
 
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Brand Name
SUPERA
Common Device Name
STENT, SUPERFICIAL FEMORAL ARTERY
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 2024168
26531 ynez road
temecula CA 92591 4628
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key24211816
Report Number2024168-2026-00410
Device Sequence Number20217303
Product Code NIP
UDI-Device Identifier08717648226007
UDI-Public(01)08717648226007(17)260831(10)4091261
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P120020
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Company Representative,Distributor
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 01/29/2026
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 Expiration Date08/31/2026
Device Model NumberS-45-120-120-P6
Device Catalogue NumberS-45-120-120-P6
Device Lot Number4091261
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 01/15/2026
Initial Report FDA Received Date01/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/12/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
.018 COMMAND GUIDE WIRE; 6FR INTRODUCER SHEATH 40CM
Patient SexUnknown
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