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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. Armada¿; Catheter, Angioplasty, Peripheral, Transluminal

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ABBOTT VASCULAR INC. Armada¿; Catheter, Angioplasty, Peripheral, Transluminal Back to Search Results
Model Number B1050-040
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 03/04/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
 
Event or Problem Description
It was reported that the procedure was to treat a mildly calcified, moderately tortuous arteriovenous fistula lesion with 80% stenosis.A 5x40 mm armada 35 pta balloon dilatation catheter (bdc) was prepared before patient use as per the instructions for use without issue.The bdc was advanced to the target lesion for pre-dilation.However, during inflation, the balloon was unable to reach 22 atm due to a leak in the delivery rod "[shaft]".An additional 5x40 mm armada 35 pta bdc was used to complete the procedure.There were no adverse patient effects and there was no clinically significant delay in the procedure.No additional information was provided.
 
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Brand Name
Armada¿
Common Device Name
Catheter, Angioplasty, Peripheral, Transluminal
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 -280
Manufacturer (Section G)
Abbott Vascular Costa Rica, Reg # 3009564766
52 calle 3 b31 coyol free zone
el coyol alajuela UNK
CS   UNK
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591--462
+1(951)914-5259
MDR Report Key25058141
Report Number2024168-2026-01764
Device Sequence Number15778004
Product Code LIT
UDI-Device Identifier08717648154607
UDI-Public(01)08717648154607(17)290131(10)50811G1
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K111899
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 Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 08/10/2026
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 NumberB1050-040
Device Catalogue NumberB1050-040
Device Lot Number50811G1
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer05/08/2026
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 04/13/2026
Supplement Date Received by Manufacturer07/27/2026
Initial Report FDA Received Date05/01/2026
Supplement Report FDA Received Date08/10/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/11/2025
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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