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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. EMBOSHIELD NAV6; TEMPORARY CAROTID CATHETER FOR EMBOLIC CAPTURE

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ABBOTT VASCULAR INC. EMBOSHIELD NAV6; TEMPORARY CAROTID CATHETER FOR EMBOLIC CAPTURE Back to Search Results
Model Number 22437-19
Medical Device Problem Codes Difficult to Insert (1316); Material Separation (1562); Deformation Due to Compressive Stress (2889)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 09/17/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A visual inspection, dimensional and functional analysis was performed on the returned device.The reported difficult to insert could not be replicated due to the condition of the returned device.The reported pod damage was not noted.However, the filter was loaded into a proxy delivery catheter with no resistance noted, indicating that the filtration element functioned properly.The reported barewire tip separation was confirmed.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 observations from the returned analysis, the reported difficulty loading the filter and barewire tip separation appears to be related to operational context.It is likely that during preparation of the device, and during removal from the loading tray, the tip of the barewire became compromised due to inadvertent mishandling causing the noted core separation.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 that when attempting to load the filtration element into the delivery catheter (dc) pod with a torque device during preparation of a small emboshield nav6 embolic protection system (eps), the tip of the dc was bent; however, the filtration element loaded into the dc pod with difficulty.The barewire tip was observed to be separated.Another same size device was used to complete the procedure.It is noted that blood and contrast on the filter element and handle were likely left during preparation.There was no device use or patient involvement and no clinically significant delay in the procedure.No additional information was provided.
 
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Brand Name
EMBOSHIELD NAV6
Common Device Name
TEMPORARY CAROTID CATHETER FOR EMBOLIC CAPTURE
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 Key24308450
Report Number2024168-2026-00554
Device Sequence Number5214682
Product Code NTE
UDI-Device Identifier08717648137747
UDI-Public(01)08717648137747(17)271231(10)5011361
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K191173
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 Physician
Type of Report Initial
Report Date (Section B) 02/10/2026
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 Number22437-19
Device Catalogue Number22437-19
Device Lot Number5011361
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/27/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/29/2026
Initial Report FDA Received Date02/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/13/2025
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
Patient SexUnknown
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