| 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, Reg # 3005718570 (P099) |
| cashel road |
|
| clonmel tipperary UNK |
|
EI
UNK
|
|
| Manufacturer Contact |
|
lindsey
bell
|
| 26531 ynez rd. |
| temecula, CA 92591--462
|
|
+1(951)914-5259
|
|
| MDR Report Key | 50165144 |
| Report Number | 2024168-2026-03119 |
| Device Sequence Number | 10040628 |
| Product Code |
DQY
|
| UDI-Device Identifier | 08717648155994 |
| UDI-Public | (01)08717648155994(11)250728(17)281231(10)5072841 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IN |
| PMA/510(K) Number | K102705 |
| 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,Distributor |
| Initial Reporter Occupation |
Administrator/Supervisor
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/06/2026 |
| 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 | A2020-200 |
| Device Catalogue Number | A2020-200 |
| Device Lot Number | 5072841 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 07/16/2026 |
| Initial Report FDA Received Date | 08/06/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 07/28/2025 |
| 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 |
|
|