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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿ Guide Wire with MICROGLIDE¿ Coating; Wire, Guide, Catheter

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ABBOTT VASCULAR INC. HI-TORQUE BALANCE MIDDLEWEIGHT¿ Guide Wire with MICROGLIDE¿ Coating; Wire, Guide, Catheter Back to Search Results
Model Number 1001780
Medical Device Problem Code Material Separation (1562)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/23/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported the procedure was to treat a lesion in the right coronary artery.The hi-torque bmw guide wire was advanced into the patient however the radiopaque tip was not visible on fluoro as it had separated.As a result, the procedure could not be completed due to the absence of the radiopaque feature.There were no adverse patient effects.No additional information was provided.
 
Additional Manufacturer Narrative
The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.As there was no damage noted to the device during the inspection prior to use, it is possible that inadvertent interaction with the anatomy/other devices and/or inadvertent mishandling resulted in the reported tip material separation; however this cannot be confirmed.The investigation determined a conclusive cause for the reported tip material separation cannot be determined.Based on the reported information and results of the complaint investigation there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
 
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Brand Name
HI-TORQUE BALANCE MIDDLEWEIGHT¿ Guide Wire with MICROGLIDE¿ Coating
Common Device Name
Wire, Guide, Catheter
Manufacturer (Section D)
ABBOTT VASCULAR INC.
3200 lakeside drive
santa clara CA 95054 -280
Manufacturer (Section G)
ABBOTT VASCULAR, Reg # 3005737652
road no.2 km 58.0 cruce dávila
barceloneta PR 00617
Manufacturer Contact
lindsey bell
26531 ynez rd.
temecula, CA 92591--462
+1(951)914-5259
MDR Report Key50841068
Report Number2024168-2026-03620
Device Sequence Number18757305
Product Code DQX
UDI-Device Identifier08717648013836
Combination Product (Y/N)N
Initial Reporter CountryEG
PMA/510(K) Number
K152709
Number of Events Summarized1
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 Physician
Type of Report Initial
Report Date (Section B) 09/21/2026
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 Number1001780
Device Catalogue Number1001780
Device Lot Number5030371
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 08/31/2026
Initial Report FDA Received Date09/21/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured03/03/2025
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 Age58 YR
Patient SexMale
Patient Weight165 LB
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