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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: Abbott Medical MitraClip¿ G5 Steerable Guide Catheter; Catheter, Percutaneous

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Abbott Medical MitraClip¿ G5 Steerable Guide Catheter; Catheter, Percutaneous Back to Search Results
Model Number SGC0801
Medical Device Problem Code Leak/Splash (1354)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/20/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported on (b)(6) 2026 that the patient presented with grade 4+ functional mitral regurgitation (mr) for a mitraclip procedure.During the preparation of steerable guide catheter (sgc), loss of column was observed twice at the flush port after two separate de-airing processes following standard ifu instructions.Troubleshooting was performed and was unsuccessful.The sgc was replaced with another device to complete the procedure.The mr was reduced to grade <1 post procedure.There was no clinically significant delay or adverse patient effects reported.
 
Additional Manufacturer Narrative
The device was not returned for analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to the reported event.Additionally, a review of the complaint history identified no similar complaints reported from the lot.Based on information provided and without the device to analyze, the cause for the reported leak/splash cannot be determined.There is no indication of a product issue with respect to manufacture, design or labeling.
 
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Brand Name
MitraClip¿ G5 Steerable Guide Catheter
Common Device Name
Catheter, Percutaneous
Manufacturer (Section D)
Abbott Medical
5050 nathan lane n
plymouth MN 55442
Manufacturer (Section G)
ABBOTT VASCULAR, Reg # 3005070406
3885 bohannon drive
menlo park CA 94025
Manufacturer Contact
karen krouse
5050 nathan lane n
plymouth, MN 55442
+1(651)756-5400
MDR Report Key50793250
Report Number2135147-2026-06259
Device Sequence Number9415653
Product Code DQY
UDI-Device Identifier05415067050908
UDI-Public(01)05415067050908(17)270901(10)60304R2023
Combination Product (Y/N)N
Initial Reporter StateAL
Initial Reporter CountryUS
PMA/510(K) Number
K243224
Number of Events Summarized1
Summary Report (Y/N)N
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) 09/24/2026
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 NumberSGC0801
Device Catalogue NumberSGC0801
Device Lot Number60304R2023
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 08/20/2026
Supplement Date Received by Manufacturer09/22/2026
Initial Report FDA Received Date09/16/2026
Supplement Report FDA Received Date09/24/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/04/2026
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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