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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL MITRACLIP; MITRAL VALVE REPAIR DEVICES

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ABBOTT MEDICAL MITRACLIP; MITRAL VALVE REPAIR DEVICES Back to Search Results
Model Number CDS0601-XTR
Medical Device Problem Code Difficult to Open or Close (2921)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/24/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that on (b)(6) 2026, a patient presented with mitral regurgitation (mr) for a mitraclip procedure.During the procedure, there was a leak in the steerable guide catheter (sgc) from the hemostasis valve.The sgc was removed from the procedure and a replacement sgc was selected.A mitraclip was advanced within the patient and attempted to be placed on the leaflets.It was identified that the posterior leaflet would not descend.Troubleshooting was performed unsuccessfully and the clip was attempted to be removed from the procedure.It was not possible to remove the clip and the patient was converted to surgery.There were no clinically significant delays reported.
 
Additional Manufacturer Narrative
The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
 
Additional Manufacturer Narrative
The device was not returned for analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to the reported event.A review of the complaint history identified no similar complaints from the lot.Based on the information provided and without the device to analyze, a cause for the reported gripper actuation issue could not be determined.The reported unexpected medical intervention was a result of case specific circumstance.There is no indication of a product issue with respect to manufacture, design or labeling.
 
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Brand Name
MITRACLIP
Common Device Name
MITRAL VALVE REPAIR DEVICES
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 3005070406
3885 bohannon drive
menlo park CA 94025
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
6517565400
MDR Report Key24873587
Report Number2135147-2026-02415
Device Sequence Number21332664
Product Code NKM
UDI-Device Identifier08717648226366
UDI-Public(01)08717648226366(17)270105(10)51210R1045
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
P100009
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
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 05/12/2026
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 NumberCDS0601-XTR
Device Catalogue NumberCDS0601-XTR
Device Lot Number51210R1045
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 03/24/2026
Supplement Date Received by Manufacturer05/04/2026
Initial Report FDA Received Date04/14/2026
Supplement Report FDA Received Date05/12/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured01/05/2026
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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