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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. ESPRIT¿; SCAFFOLD,INFRAPOPLITEAL,ABSORBABLE

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ABBOTT VASCULAR INC. ESPRIT¿; SCAFFOLD,INFRAPOPLITEAL,ABSORBABLE Back to Search Results
Model Number 1203300-38
Medical Device Problem Codes Improper or Incorrect Procedure or Method (2017); Ambient Temperature Problem (2878)
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
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.H6 medical device problem code: 2017 - failure to follow steps / instructions.
 
Event or Problem Description
It was reported that the procedure performed was to treat a de novo, moderately calcified, mildly tortuous right peroneal artery that is 80% stenosed.After the 3.00x38mm esprit btk resorbable scaffold was implanted, it was realized that the temperature sensor with the tag alert was not inspected prior to implantation and was noted to be triggered.As a result, a xience prime stent was implanted to reline the scaffold.Angiogram revealed the vessel to be open and patent.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.It was reported that the temperature sensor with the tag alert triggered on the 3.00x38mm esprit btk resorbable scaffold system and was not inspected prior to implantation.It should be noted that the esprit btk everolimus eluting resorbable scaffold system instruction for use (ifu) states: a non-sterile temperature monitor included in the package is for the shipping and storage of the esprit btk system.Before use of the esprit btk system, check the temperature monitor located through window in the back of the product box.The indicator should only show a check mark as indicated.If any other screen is present, do not use the product.In this case, the account is reporting the error and is aware of the deviation.Based on the information provided, a definitive cause for the reported issue could not be determined.Based on the 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.
 
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Brand Name
ESPRIT¿
Common Device Name
SCAFFOLD,INFRAPOPLITEAL,ABSORBABLE
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 Key24282932
Report Number2024168-2026-00518
Device Sequence Number9803419
Product Code NXW
UDI-Device Identifier08717648357015
UDI-Public(01)08717648357015(11)250801(17)270731(10)5080161
Combination Product (Y/N)Y
Initial Reporter CountryAS
PMA/510(K) Number
P230036
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
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 03/05/2026
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 Number1203300-38
Device Catalogue Number1203300-38
Device Lot Number5080161
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
Supplement Date Received by Manufacturer02/09/2026
Initial Report FDA Received Date02/06/2026
Supplement Report FDA Received Date03/05/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/01/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
XIENCE PRIME DES
Patient Age73 YR
Patient SexFemale
Patient EthnicityNon Hispanic
Patient RaceWhite
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