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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL (AF-MINNETONKA) CURVED 10CM LONG 10MM TIP 20G; RFA NEEDLE

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ABBOTT MEDICAL (AF-MINNETONKA) CURVED 10CM LONG 10MM TIP 20G; RFA NEEDLE Back to Search Results
Model Number SMK-C1010-20
Medical Device Problem Code Product Quality Problem (1506)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
The date of event is estimated.
 
Event or Problem Description
It was reported that during an rfa procedure the physician noticed that once the needle was removed from the patient the white coating was missing.The patient did not experience any negative effects as a result.
 
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Brand Name
CURVED 10CM LONG 10MM TIP 20G
Common Device Name
RFA NEEDLE
Manufacturer (Section D)
ABBOTT MEDICAL (AF-MINNETONKA)
14901 deveau place
minnetonka MN 55345
Manufacturer (Section G)
ABBOTT MEDICAL (AF-MINNETONKA)
14901 deveau place
minnetonka MN 55345
Manufacturer Contact
sara speyerer
6901 preston road
plano, TX 75024
9723098000
MDR Report Key25015814
Report Number2182269-2026-00233
Device Sequence Number13190229
Product Code GXI
UDI-Device Identifier05415067028730
UDI-Public(01)05415067028730(10)11046718(17)280831
Combination Product (Y/N)N
Initial Reporter CountrySF
PMA/510(K) Number
K000073
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
Report Date (Section B) 04/28/2026
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 NumberSMK-C1010-20
Device Catalogue NumberSMK-C1010-20
Device Lot Number11046718
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 04/01/2026
Initial Report FDA Received Date04/28/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured09/16/2025
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 Other;
Patient SexUnknown
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