MAUDE Adverse Event Report: ABBOTT VASCULAR INC. MINI TREK¿ Coronary Dilatation Catheter; Catheters, Transluminal Coronary Angioplasty, Percutaneous

Model Number	1012270-20
Medical Device Problem Codes	Material Rupture (1546); Improper or Incorrect Procedure or Method (2017)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/01/2026
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported the procedure was to treat a mildly tortuous and severely calcified lesion in the mid left circumflex artery.The 2.0x20mm rx mini trek balloon dilatation catheter was not soaked during the preparation for use.The device was advanced to the target lesion however during inflation, the balloon ruptured due to severe calcification of the lesion.Th procedure was completed using another device.There were no adverse patient effects.No additional information was provided.
Additional Manufacturer Narrative
H6 medical device problem code: 2017 - incorrect prep manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.

• Brand Name: MINI TREK¿ Coronary Dilatation Catheter
• Common Device Name: Catheters, Transluminal Coronary Angioplasty, Percutaneous
• 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: 50896585
• Report Number: 2024168-2026-03713
• Device Sequence Number: 21522857
• Product Code: LOX
• UDI-Device Identifier: 08717648138164
• UDI-Public: (01)08717648138164(17)290131(10)60216G1
• Combination Product (Y/N): N
• Initial Reporter Country: BR
• PMA/510(K) Number: K180040
• 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: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 09/25/2026

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: 1012270-20
• Device Catalogue Number: 1012270-20
• Device Lot Number: 60216G1
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/09/2026
• Initial Report FDA Received Date: 09/25/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 02/16/2026
• 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