OMNILINK ELITE 1012624-19

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,distri report with the FDA on 2020-03-13 for OMNILINK ELITE 1012624-19 manufactured by Abbott Vascular.

Event Text Entries

[183482749] The device was not returned for evaluation as the stent remains implanted. A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event. Additionally, a review of the complaint history identified no indication of a lot specific product quality issue. Based on the information provided, the reported difficulties appear to be related to circumstances of the procedure. It is likely that the omnilink elite stent could not be fully expanded due to the anatomy, thus preventing the non-abbott catheter from being able to advance through the stent. Additionally, if the omnilink elite stent was not fully apposed to the vessel wall, it is likely that the guide wire became trapped within the stent resulting in difficulty removing and unraveling of the guide wire tip coils. There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
Patient Sequence No: 1, Text Type: N, H10


[183482750] It was reported that the procedure was to treat a stenosed left pulmonary artery. An 8. 0x19mm omnilink elite stent was inflated at 14 atmospheres and deployed in the lesion. Then a non-abbott catheter was advanced over the stiff guide wire in order to measure pressure difference of the distal part of the deployed stent; however, the catheter did not advance through the omnilink stent. Therefore, the non-abbott catheter was replaced with another non-abbott catheter; however, that catheter did not advance either. An attempt was made to remove the stiff guide wire; however, the stiff guide wire could not be removed and became unraveled. On the same day, surgical treatment was performed to remove the guide wire. Per the physician, it is possible the omnilink elite stent could not be fully expanded due to the anatomy and the guide wire became trapped in the stent. There was no additional information provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-02422
MDR Report Key9831940
Report SourceCOMPANY REPRESENTATIVE,DISTRI
Date Received2020-03-13
Date of Report2020-03-13
Date of Event2020-02-07
Date Mfgr Received2020-02-12
Device Manufacturer Date2018-12-11
Date Added to Maude2020-03-13
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 # 3005718570 (P099)
Manufacturer StreetCASHEL ROAD
Manufacturer CityCLONMEL TIPPERARY
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOMNILINK ELITE
Generic NamePERIPHERAL STENT DELIVERY SYSTEM
Product CodeNIO
Date Received2020-03-13
Model Number1012624-19
Catalog Number1012624-19
Lot Number8121141
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
10 2020-03-13

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.