| Brand Name | Armada¿ 35 PTA Catheter |
| Common Device Name | Catheter, Angioplasty, Peripheral, Transluminal |
| Manufacturer (Section D) |
| ABBOTT VASCULAR INC. |
| 3200 lakeside drive |
| santa clara CA 95054 -280 |
|
| Manufacturer (Section G) |
| Abbott Vascular Costa Rica, Reg # 3009564766 |
| 52 calle 3 b31 coyol free zone |
|
| el coyol alajuela UNK |
|
CS
UNK
|
|
| Manufacturer Contact |
|
lindsey
bell
|
| 26531 ynez rd. |
| temecula, CA 92591--462
|
|
+1(951)914-5259
|
|
| MDR Report Key | 50759508 |
| Report Number | 2024168-2026-03532 |
| Device Sequence Number | 9361761 |
| Product Code |
LIT
|
| UDI-Device Identifier | 08717648154782 |
| UDI-Public | (01)08717648154782(17)290331(10)51016G1 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | TW |
| PMA/510(K) Number | K111899 |
| 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 |
Non-Healthcare Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/30/2026 |
| 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 | B1070-040 |
| Device Catalogue Number | B1070-040 |
| Device Lot Number | 51016G1 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/16/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/27/2026 |
| Supplement Date Received by Manufacturer | 09/23/2026
|
| Initial Report FDA Received Date | 09/14/2026 |
| Supplement Report FDA Received Date | 09/30/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 10/16/2025 |
| 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 |
|
|