| Brand Name | Amplatzer Torqvue Delivery System |
| Common Device Name | Catheter, Percutaneous |
| 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 Key | 50496069 |
| Report Number | 2135147-2026-05882 |
| Device Sequence Number | 10111026 |
| Product Code |
DQY
|
| UDI-Device Identifier | 00811806010847 |
| UDI-Public | (01)00811806010847(17)280630(10)10930353 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | CH |
| PMA/510(K) Number | K072313 |
| 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,Followup |
| Report Date (Section B) |
09/18/2026 |
| 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 | 9-ITV08F45/80 |
| Device Catalogue Number | 9-ITV08F45/80 |
| Device Lot Number | 10930353 |
| 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 | 08/03/2026 |
| Supplement Date Received by Manufacturer | 09/11/2026
|
| Initial Report FDA Received Date | 08/28/2026 |
| Supplement Report FDA Received Date | 09/18/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 07/07/2025 |
| 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 |
|
|