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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical MITRACLIP; Catheter, Steerable

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Abbott Medical MITRACLIP; Catheter, Steerable Back to Search Results
Model Number SGC0701
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/05/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that on (b)(6) 2026, a patient presented for a mitraclip procedure.During the preparation, mitraclip steerable guide catheter would not hold the column, and the leak was observed at the hemostatic valve.Device was replaced and continued the procedure.All steps were performed as per ifu.The final mr was grade 1.There were no adverse patient effects or clinically significant delays reported.
 
Additional Manufacturer Narrative
The device will not be returned for evaluation, the device was reportedly discarded.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
 
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Brand Name
MITRACLIP
Common Device Name
Catheter, Steerable
Manufacturer (Section D)
Abbott Medical
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
Abbott Medical Northpoint Reg 3020950818
1820 bastian court
westfield IN 46074
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
+1(651)756-5400
MDR Report Key50478934
Report Number2135147-2026-05864
Device Sequence Number10396066
Product Code DRA
UDI-Device Identifier08717648231025
UDI-Public(01)08717648231025(17)260806(10)50205A1006
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K190167
Number of Events Summarized1
Summary Report (Y/N)N
Device Implanted Year2026
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial,Followup
Report Date (Section B) 10/01/2026
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 Date08/06/2026
Device Model NumberSGC0701
Device Catalogue NumberSGC0701
Device Lot Number50205A1006
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 08/05/2026
Supplement Date Received by Manufacturer09/23/2026
Initial Report FDA Received Date08/27/2026
Supplement Report FDA Received Date10/01/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/06/2025
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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