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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, MEDIUM CURL, 13F; Introducer, catheter

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ABBOTT MEDICAL AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, MEDIUM CURL, 13F; Introducer, catheter Back to Search Results
Model Number SI-1371-M
Medical Device Problem Codes Material Puncture/Hole (1504); Material Twisted/Bent (2981)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/28/2026
Type of Reportable Event Malfunction
Event or Problem Description
During a pvi procedure, the needle punctured the dilator.When attempting transseptal puncture, it was noted that the dilator was bent.When the needle was inserted, it punctured the dilator.The sheath and needle were replaced and the procedure was completed with no adverse consequences to the patient.The stylet was used with the needle and no additional puncture site was needed.However, the needle was reshaped.
 
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Brand Name
AGILIS¿ NXT STEERABLE INTRODUCER DUAL-REACH¿ 71 CM SHEATH, MEDIUM CURL, 13F
Common Device Name
Introducer, catheter
Manufacturer (Section D)
ABBOTT MEDICAL
14901 deveau place
minnetonka MN 55345
Manufacturer (Section G)
ABBOTT MEDICAL
14901 deveau place
minnetonka MN 55345
Manufacturer Contact
wendy mccarty
5050 nathan lane north
plymouth, MN 55442
6517565400
MDR Report Key25429998
Report Number2182269-2026-00365
Device Sequence Number10189123
Product Code DYB
UDI-Device Identifier05415067051851
UDI-Public(01)05415067051851(10)11145653(17)281031
Combination Product (Y/N)N
Initial Reporter CountryGM
PMA/510(K) Number
K243493
Number of Events Summarized1
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) 06/08/2026
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 NumberSI-1371-M
Device Catalogue NumberSI-1371-M
Device Lot Number11145653
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 05/28/2026
Initial Report FDA Received Date06/08/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured11/19/2025
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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