MAUDE Adverse Event Report: ABBOTT MEDICAL ULTIMUM HEMOSTASIS INTRODUCER; Introducer, catheter

Model Number	407687
Medical Device Problem Code	Fluid/Blood Leak (1250)
Health Effect - Clinical Code	Hemorrhage/Blood Loss/Bleeding (1888)
Date of Event	02/03/2026
Type of Reportable Event	Malfunction
Event or Problem Description
During a tavi procedure, while accessing the femoral artery using the introducer and a non-abbott guidewire (lunderquist by cook medical), blood leaked from the hemostasis valve resulting in significant blood loss.Manual compression with gauze was held at the valve of the introducer.The bleeding resulted in a marked decrease in the patient¿s hemoglobin levels: on (b)(6) 2026 hb: 13.8; on (b)(6) 2026 hb: 11.9.No intervention was administered to treat the drop in hemoglobin.
Additional Manufacturer Narrative
The results of the investigation are inconclusive since the device was not returned for analysis.The batch record was reviewed to ensure that each manufacturing and inspection operation was performed.Based on the information received, the cause of the reported incident could not be conclusively determined.

• Brand Name: ULTIMUM HEMOSTASIS INTRODUCER
• Common Device Name: Introducer, catheter
• Manufacturer (Section D): ABBOTT MEDICAL; 5050 nathan lane north; plymouth MN 55442
• Manufacturer (Section G): ABBOTT MEDICAL; 5050 nathan lane north; plymouth MN 55442
• Manufacturer Contact: wendy mccarty ; 5050 nathan lane n; plymouth, MN 55442 ; 6517565400
• MDR Report Key: 24457559
• Report Number: 3005334138-2026-00100
• Device Sequence Number: 9410966
• Product Code: DYB
• UDI-Device Identifier: 05414734020930
• UDI-Public: (01)05414734020930(10)10403900(17)270531
• Combination Product (Y/N): N
• Initial Reporter Country: IT
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 02/26/2026

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?: Yes
• Operator of Device: Health Professional
• Device Model Number: 407687
• Device Catalogue Number: 407687
• Device Lot Number: 10403900
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 02/12/2026
• Initial Report FDA Received Date: 02/26/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 06/25/2024
• 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 Number: 1
• Patient Sex: Unknown