| Brand Name | Agilis¿ NxT Steerable Introducer Dual-Reach¿ 71 cm Sheath, Medium Curl, 13F |
| Common Device Name | Introducer, Catheter |
| Manufacturer (Section D) |
| Abbott Medical |
| 14901 deveau place |
| minnetonka MN 55345 |
|
| Manufacturer (Section G) |
| Abbott Medical (AF-Minnetonka) |
| 14901 deveau place |
|
| minnetonka MN 55345 |
|
| Manufacturer Contact |
|
wendy
mccarty
|
| 5050 nathan lane north |
| plymouth, MN 55442
|
|
+1(651)756-5400
|
|
| MDR Report Key | 50808729 |
| Report Number | 2182269-2026-00600 |
| Device Sequence Number | 20993550 |
| Product Code |
DYB
|
| UDI-Device Identifier | 05415067051851 |
| UDI-Public | (01)05415067051851(10)11259213(17)290131 |
| Combination Product (Y/N) | N |
| Initial Reporter State | FL |
| Initial Reporter Country | US |
| PMA/510(K) Number | K243493 |
| Number of Events Summarized | 1 |
| Summary Report (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 Number | SI-1371-M |
| Device Catalogue Number | SI-1371-M |
| Device Lot Number | 11259213 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
No
|
| Was the Report Sent to FDA? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/21/2026 |
| Supplement Date Received by Manufacturer | 09/18/2026
|
| Initial Report FDA Received Date | 09/17/2026 |
| Supplement Report FDA Received Date | 09/24/2026
|
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Date Device Manufactured | 02/11/2026 |
| 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 Number | 1 |
| Patient Sex | Unknown |
|
|