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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT MEDICAL Amplatzer Muscular VSD Occluder; Transcatheter Septal Occluder

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ABBOTT MEDICAL Amplatzer Muscular VSD Occluder; Transcatheter Septal Occluder Back to Search Results
Model Number 9-VSD-MUSC-016
Medical Device Problem Code Difficult to Fold, Unfold or Collapse (1254)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 06/22/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that on (b)(6) 2026, a 16mm amplatzer muscular vsd occluder was chosen for implant using a non-abbott delivery system.During the procedure, the physician noticed that the device did not take desired shape resulting in cobra shape and it was retrieved back.The procedure was aborted.The deformed device was never released from the delivery cable while inside the patient.There was no angulation or kink noted in the delivery system.There was no interaction with cardiac structures during deployment.The patient remained hemodynamically stable throughout the procedure.There was no clinically significant delay in procedure and no adverse patient effects reported.
 
Additional Manufacturer Narrative
The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
 
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Brand Name
Amplatzer Muscular VSD Occluder
Common Device Name
Transcatheter Septal Occluder
Manufacturer (Section D)
ABBOTT MEDICAL
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
Abbott Medical Reg# 2135147
5050 nathan ln n
plymouth MN 55442
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
+1(651)756-5400
MDR Report Key25861064
Report Number2135147-2026-04933
Device Sequence Number14753534
Product Code MLV
UDI-Device Identifier00811806011844
UDI-Public(01)00811806011844(17)260731(10)8088990
Combination Product (Y/N)N
Initial Reporter CountryIN
PMA/510(K) Number
P040040
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Device Explanted Year2026
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,Followup
Report Date (Section B) 09/28/2026
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 Expiration Date07/31/2026
Device Model Number9-VSD-MUSC-016
Device Catalogue Number9-VSD-MUSC-016
Device Lot Number8088990
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer09/01/2026
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 06/22/2026
Supplement Date Received by Manufacturer09/24/2026
Initial Report FDA Received Date07/17/2026
Supplement Report FDA Received Date09/29/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured08/10/2021
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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