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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL AMPLATZER MULTI-FENESTRATED SEPTAL OCCLUDER - CRIBRIFORM; TRANSCATHETER SEPTAL OCCLUDER

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ABBOTT MEDICAL AMPLATZER MULTI-FENESTRATED SEPTAL OCCLUDER - CRIBRIFORM; TRANSCATHETER SEPTAL OCCLUDER Back to Search Results
Model Number 9-ASD-MF-025
Medical Device Problem Code Migration or Expulsion of Device (1395)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/16/2026
Type of Reportable Event Serious Injury
Event or Problem Description
It was reported that on (b)(6) 2026, a 25mm amplatzer cribriform occluder was implanted using an abbott delivery system.The defect measured 9.86 mm, and the total septal length from rim to rim was 26 mm.Device sizing was determined by measuring the tunnel length, the maximum elevation of the septum, and the length from the point where the guide passed to the end of the defect.Transesophageal echocardiography (tee) was used as the imaging modality during the procedure.The patient remained stable throughout the procedure, with no rhythm changes observed.On the following morning, a tee examination indicated that the device had become displaced; however, it was noted that the device had not completely dislodged from the implant site.The implanter reported uncertainty regarding the cause of the migration, considering that the sizing had been believed to be correct.The patient experienced no clinical signs or symptoms during or after the event.Device displacement was identified during the discharge-day tee.A decision was made to re-operate in order to recapture the device.The device was successfully recaptured using a snare, and the clinical team elected to implant a larger device.The procedure was completed without any adverse consequences for the patient.
 
Additional Manufacturer Narrative
Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
 
Additional Manufacturer Narrative
An event of device migration was reported.The device was returned to abbott for investigation and the device met functional specifications when analyzed under non-physiological conditions.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 and cine review, the cause for the reported device migration could not be determined.An unexpected medical intervention was a result of case specific circumstances, as the device was removed via snare.There is no indication of a product quality issue with respect to labeling, design, or manufacturing of the device.
 
Event or Problem Description
N/a.
 
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Brand Name
AMPLATZER MULTI-FENESTRATED SEPTAL OCCLUDER - CRIBRIFORM
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 Key24310286
Report Number2135147-2026-00818
Device Sequence Number5676571
Product Code MLV
UDI-Device Identifier00811806010298
UDI-Public(01)00811806010298(17)300430(10)10854719
Combination Product (Y/N)N
Initial Reporter CountryIT
PMA/510(K) Number
P000039
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted 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) 03/26/2026
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? No
Operator of Device Health Professional
Device Model Number9-ASD-MF-025
Device Catalogue Number9-ASD-MF-025
Device Lot Number10854719
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/10/2026
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 01/16/2026
Supplement Date Received by Manufacturer03/13/2026
Initial Report FDA Received Date02/10/2026
Supplement Report FDA Received Date03/30/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured05/08/2025
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 SexUnknown
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