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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL TRICLIP¿ STEERABLE GUIDE CATHETER; TRICUSPID VALVE REPAIR DEVICE, PERCUTANEOUSLY DELIVERED

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ABBOTT MEDICAL TRICLIP¿ STEERABLE GUIDE CATHETER; TRICUSPID VALVE REPAIR DEVICE, PERCUTANEOUSLY DELIVERED Back to Search Results
Model Number TSGC0201
Medical Device Problem Code Positioning Failure (1158)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/31/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device will not be returned for evaluation, the device was reportedly discarded.Investigation is not yet complete.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 patient presented with grade 5 functional tricuspid regurgitation (tr) for a triclip procedure.During the procedure, when trying to apply the minus on the triclip steerable guide catheter (tsgc), it would not work.It was noted that the sgc would turn but would not straighten.Device was replaced and continued the procedure.The final tr was grade 2.There were no adverse patient effects or clinically significant delays reported.
 
Additional Manufacturer Narrative
The device was not returned for analysis.The lot history record (lhr) and complaint history reviews were not performed as no lot or serial number was provided.Based on available information and the returned device analysis, the cause of the reported unable to straighten tsgc was unable to be determined.There is no indication of a product quality issue with respect to manufacture, design, or labeling.
 
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Brand Name
TRICLIP¿ STEERABLE GUIDE CATHETER
Common Device Name
TRICUSPID VALVE REPAIR DEVICE, PERCUTANEOUSLY DELIVERED
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005070406
3885 bohannon drive
menlo park CA 94025
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key24217096
Report Number2135147-2026-00514
Device Sequence Number15475237
Product Code DQY
UDI-Device Identifier05415067047748
UDI-Public(01)05415067047748(17)260610(10)41210R1068
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K241538
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 02/24/2026
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 Date06/10/2026
Device Model NumberTSGC0201
Device Catalogue NumberTSGC0201
Device Lot Number41210R1068
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 01/10/2026
Supplement Date Received by Manufacturer02/19/2026
Initial Report FDA Received Date01/29/2026
Supplement Report FDA Received Date02/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/11/2024
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
Patient Age70 YR
Patient SexMale
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