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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿; Wire, Guide, Catheter

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ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿; Wire, Guide, Catheter Back to Search Results
Model Number 1009664
Medical Device Problem Codes Difficult to Remove (1528); Material Separation (1562); Difficult to Advance (2920)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the procedure was to treat a moderately calcified, moderately tortuous left anterior descending coronary artery.During advancement of the ht balance middleweight universal ii guide wire, resistance was met due to anatomy.Upon withdrawal, resistance was also met due to anatomy and the guide wire fractured within the guiding catheter.The guiding catheter, along with the fractured guide wire were simply withdrawn and removed from the patient.An image provided show that the tip and coils of the guide wire appear to be separated.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
 
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventive actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint handling database identified no other incidents from this lot.As there was no damage noted to the device during the inspection prior to use, the investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that resistance was met with the moderately calcified and moderately tortuous anatomy resulting in the reported difficult to advance and the reported difficult to remove.Interaction/manipulation of the compromised device resulted in the reported material separations (tip and coils).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.
 
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Brand Name
HI-TORQUE BALANCE MIDDLEWEIGHT¿
Common Device Name
Wire, Guide, Catheter
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 -280
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--462
+1(951)914-5259
MDR Report Key50195829
Report Number2024168-2026-03128
Device Sequence Number21304026
Product Code DQX
UDI-Device Identifier08717648118715
UDI-Public(01)08717648118715(11)250512(17)270430(10)5051271
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K152709
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Other,Foreign,Health Professional,Company Representative
Initial Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date (Section B) 08/10/2026
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 Number1009664
Device Catalogue Number1009664
Device Lot Number5051271
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 07/27/2026
Initial Report FDA Received Date08/10/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/12/2025
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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