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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL AMPLATZER TALISMAN PFO OCCLUDER; TRANSCATHETER SEPTAL OCCLUDER

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ABBOTT MEDICAL AMPLATZER TALISMAN PFO OCCLUDER; TRANSCATHETER SEPTAL OCCLUDER Back to Search Results
Model Number 9-PFO-3025
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Pericardial Effusion (3271)
Date of Event 01/07/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The device remains implanted in patient.The device will not be returned for evaluation.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) 2026, a 30-25mm amplatzer pfo occluder was chosen for implant using a 9f amplatzer torqvue delivery system.No pericardial effusion was noted prior to the procedure.The transseptal puncture was performed at the fossa.During the case, multiple manipulations and multiple wire exchanges occurred, with the wire positioned within the right atrium.The patient was in sinus rhythm at the time, of the procedure.The patient had been taking aspirin (apt) prior to the procedure and continued on aspirin at the time the effusion was detected.The patient also received enoxaparin 0.5 mg/kg during the procedure, and no protamine or other reversal agents were administered.A pericardial effusion was subsequently identified and was located within the pericardium, measuring 14 mm in its largest dimension and characterized as circumferential.The effusion was managed with pericardiocentesis, and the user did not believe the event was caused by an abbott device.
 
Event or Problem Description
It was reported that on (b)(6) 2026, a 30-25mm amplatzer pfo occluder was chosen for implant using a 9f amplatzer torqvue delivery system.No pericardial effusion was noted prior to the procedure.The transseptal puncture was performed at the fossa.During the case, multiple manipulations and multiple wire exchanges occurred, with the wire positioned within the right atrium.The patient was in sinus rhythm at the time, of the procedure.The patient had been taking aspirin (apt) prior to the procedure and continued on aspirin at the time the effusion was detected.The patient also received enoxaparin 0.5 mg/kg during the procedure, and no protamine or other reversal agents were administered.A pericardial effusion was subsequently identified and was located within the pericardium, measuring 14 mm in its largest dimension and characterized as circumferential.The effusion was managed with pericardiocentesis, and the user did not believe the event was caused by an abbott device.
 
Additional Manufacturer Narrative
An adverse event without identified device or use problem and pericardial effusion was reported.A returned device assessment could not be performed as the device was not returned for analysis.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all defined manufacturing specifications.There were no complaints associated with any other devices from the lot.Based on the available information, the cause for the reported pericardial effusion could not be determined.An unexpected medical intervention was a result of case-specific circumstances, as a pericardiocentesis was performed.There is no indication of a product quality issue with respect to labeling, design, or manufacturing of the device.
 
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Brand Name
AMPLATZER TALISMAN PFO OCCLUDER
Common Device Name
TRANSCATHETER SEPTAL OCCLUDER
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT MEDICAL REG# 2135147
5050 nathan ln n
plymouth MN 55442
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key24283538
Report Number2135147-2026-00722
Device Sequence Number9862206
Product Code MLV
UDI-Device Identifier05415067033321
UDI-Public(01)05415067033321(17)280731(10)10996205
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
P120021
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) 03/19/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model Number9-PFO-3025
Device Catalogue Number9-PFO-3025
Device Lot Number10996205
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 01/12/2026
Supplement Date Received by Manufacturer03/10/2026
Initial Report FDA Received Date02/06/2026
Supplement Report FDA Received Date03/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/13/2025
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
Outcome Attributed to Adverse Event Required Intervention;
Patient Age85 YR
Patient SexUnknown
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