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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. INDEFLATOR; SYRINGE, BALLOON INFLATION

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ABBOTT VASCULAR INC. INDEFLATOR; SYRINGE, BALLOON INFLATION Back to Search Results
Model Number 1000184
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/13/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
 
Event or Problem Description
It was reported that the procedure performed was to treat a de novo, moderately calcified, mildly tortuous mid-left anterior descending coronary artery that is 75% stenosed.When inflating and deflating the indeflator 20/30, the gauge would not rotate, and pressure could not be applied.The indeflator was connected to a coronary balloon.Leaking was also noted inside the indeflator.A new unspecified device was used to complete the procedure.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
 
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventative 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 issue could not be determined.The device was not returned for analysis; therefore, it is unknown what may have caused the reported leak.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
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Brand Name
INDEFLATOR
Common Device Name
SYRINGE, BALLOON INFLATION
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 Key24262193
Report Number2024168-2026-00492
Device Sequence Number9550083
Product Code MAV
UDI-Device Identifier08717648013591
UDI-Public(01)08717648013591(17)270430(10)60646456
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
K961471
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 Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 02/20/2026
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 Number1000184
Device Catalogue Number1000184
Device Lot Number60646456
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 01/14/2026
Supplement Date Received by Manufacturer02/05/2026
Initial Report FDA Received Date02/04/2026
Supplement Report FDA Received Date02/20/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/20/2025
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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