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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. Armada¿; Catheter, Percutaneous

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ABBOTT VASCULAR INC. Armada¿; Catheter, Percutaneous Back to Search Results
Model Number B1060-040
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/26/2026
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 during preparation of the 6x40mm armada 35 balloon dilatation catheter (bdc), a balloon leak was noted when attempting to pull negative.The bdc was not used in the procedure.Another armada bdc was used to continue the procedure.There was no patient involvement and no clinically significant delay reported in the procedure.No additional information was provided.
 
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Brand Name
Armada¿
Common Device Name
Catheter, Percutaneous
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 Key25480709
Report Number2024168-2026-02373
Device Sequence Number16080344
Product Code DQY
UDI-Device Identifier08717648154690
UDI-Public(01)08717648154690(17)290331(10)51017G2
Combination Product (Y/N)N
Initial Reporter StateAZ
Initial Reporter CountryUS
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 Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 08/24/2026
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 NumberB1060-040
Device Catalogue NumberB1060-040
Device Lot Number51017G2
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer06/18/2026
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 05/26/2026
Supplement Date Received by ManufacturerNot provided
Initial Report FDA Received Date06/11/2026
Supplement Report FDA Received Date08/24/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured10/17/2025
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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