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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. SUPERA; STENT, SUPERFICIAL FEMORAL ARTERY

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ABBOTT VASCULAR INC. SUPERA; STENT, SUPERFICIAL FEMORAL ARTERY Back to Search Results
Model Number S-55-150-120-P6
Medical Device Problem Codes Stretched (1601); Activation Failure (3270)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/03/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint handling database revealed no indication of a lot specific product quality issue.As there was no damage noted to the device during the inspection prior to use, it is possible that during stent deployment, interaction with the heavily calcified, heavily torturous anatomy contributed to the reported stretched/elongated stent, ultimately resulting in the reported activation/deployment failure; however, this cannot be confirmed.The investigation determined a conclusive cause for the reported difficulties cannot be determined.Based on the reported information and results of the complaint investigation there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.The additional devices referenced in b5 are being filed under a separate medwatch report numbers.
 
Event or Problem Description
It was reported that the procedure was to treat a heavily calcified, heavily tortuous superficial femoral artery and popliteal artery lesion.The 5.5x150 mm supera self-expanding stent (ses) was advanced to the target lesion and fully deployed.However, during removal of the ses, elongation occurred and the stent was removed.This also occurred with the second 5.5x150 mm supera ses and the third 5.5x120 mm supera ses.A fourth 5.5x150 mm supera ses and a non-abbott stent were used to complete the procedure.There were no adverse patient effects and there was clinically significant delay in the procedure.No additional information was provided.
 
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Brand Name
SUPERA
Common Device Name
STENT, SUPERFICIAL FEMORAL ARTERY
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 2807
Manufacturer (Section G)
ABBOTT VASCULAR, REG # 2024168
26531 ynez road
temecula CA 92591 4628
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591-4628
9519143996
MDR Report Key25524239
Report Number2024168-2026-02426
Device Sequence Number10731888
Product Code NIP
UDI-Device Identifier08717648226168
UDI-Public(01)08717648226168(17)270731(10)5081461
Combination Product (Y/N)N
Initial Reporter CountryJA
PMA/510(K) Number
P120020
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 Other Health Care Professional
Type of Report Initial,Followup
Report Date (Section B) 07/16/2026
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 NumberS-55-150-120-P6
Device Catalogue NumberS-55-150-120-P6
Device Lot Number5081461
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 06/04/2026
Supplement Date Received by Manufacturer06/26/2026
Initial Report FDA Received Date06/16/2026
Supplement Report FDA Received Date07/16/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/14/2025
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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