| Brand Name | HI-TORQUE VERSATURN¿ |
| Common Device Name | WIRE, GUIDE, CATHETER |
| Manufacturer (Section D) |
| ABBOTT VASCULAR INC. |
| 3200 lakeside drive |
| santa clara CA 95054 2807 |
|
| Manufacturer (Section G) |
| ABBOTT VASCULAR, REG # 3005737652 |
| road no.2 km 58.0 cruce dávila |
|
| barceloneta PR 00617 |
|
| Manufacturer Contact |
|
lindsey
bell
|
| 26531 ynez rd. |
| temecula, CA 92591-4628
|
|
9519145259
|
|
| MDR Report Key | 25904856 |
| Report Number | 2024168-2026-02896 |
| Device Sequence Number | 14952557 |
| Product Code |
DQX
|
| UDI-Device Identifier | 08717648198434 |
| UDI-Public | (01)08717648198434(17)271031(10)5111471 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K141782 |
| Number of Events Summarized | 1 |
| 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 |
Physician
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/22/2026 |
| 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 Number | 1013317 |
| Device Catalogue Number | 1013317 |
| Device Lot Number | 5111471 |
| 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 | 07/13/2026 |
| Initial Report FDA Received Date | 07/22/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 11/14/2025 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|