STEERABLE GUIDE CATHETER UNK SGC03

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a literature report with the FDA on 2020-03-10 for STEERABLE GUIDE CATHETER UNK SGC03 manufactured by Abbott Vascular.

Event Text Entries

[182776396] Date of event is estimated. The devices were not returned for analysis and a review of the lot history record could not be performed as the part and lot information regarding the complaint device was not provided. A definitive cause for the reported atrial perforation could not be determined. The patient effect of atrial perforation, as listed in the mitraclip system instructions for use, is a known possible complications associated with mitraclip procedures. A conclusive cause for the reported patient effect of atrial perforation, and the relationship to the device, if any, cannot be determined. There is no indication of a product issue with respect to manufacture, design, or labeling. The clip delivery system (cds) referenced is filed under a separate medwatch report number.
Patient Sequence No: 1, Text Type: N, H10


[182776397] This is filed to report an atrial septal defect (asd). It was reported that in (b)(6) of 2014, a mitraclip procedure was performed to treat mitral regurgitation (mr). Three mitraclip were successfully implanted; however, mr was only slightly reduced. 11 days later, echocardiogram showed mr had increased; therefore, mitral valve replacement was performed. During the mitral valve replacement, a closure device was used to close the atrial septal defect (asd). Once the clips were removed, it was noted that extensive tissue damage had occurred to the leaflets. The patient was in good health after the procedure. For additional information, see attached article.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-02193
MDR Report Key9811328
Report SourceLITERATURE
Date Received2020-03-10
Date of Report2020-03-10
Date of Event2014-02-01
Date Mfgr Received2020-02-17
Date Added to Maude2020-03-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. LINDSEY BELL
Manufacturer Street26531 YNEZ RD.
Manufacturer CityTEMECULA CA 925914628
Manufacturer CountryUS
Manufacturer Postal925914628
Manufacturer Phone9519143996
Manufacturer G1ABBOTT VASCULAR, REG # 3005070406
Manufacturer Street3885 BOHANNON DRIVE
Manufacturer CityMENLO PARK CA 94025
Manufacturer CountryUS
Manufacturer Postal Code94025
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSTEERABLE GUIDE CATHETER
Generic NameVALVE REPAIR
Product CodeDRA
Date Received2020-03-10
Catalog NumberUNK SGC03
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerABBOTT VASCULAR
Manufacturer Address26531 YNEZ RD. TEMECULA CA 925914628 US 925914628


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Required No Informationntervention 2020-03-10

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