HT COMMAND 14 2078175

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-03-26 for HT COMMAND 14 2078175 manufactured by Abbott Vascular.

Event Text Entries

[185093309] The product was not returned to abbott for analysis. Return of the guide wire may have further aided the analysis. The investigation was unable to determine a conclusive cause for the reported difficulty to advance or difficulty to remove. 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 other incidents and/or complaint reported from this lot. There was no damage noted to the guide wire during the inspection prior to preparation of the wire which suggests a product quality issue did not contribute to the reported difficulties. 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


[185093310] It was reported that this was a procedure to treat the posterior tibial artery. During advancement the command guide wire became stuck inside a non-abbott crossing catheter. The command guide wire could not be removed from the crossing catheter, so both devices were removed as a unit. The procedure was aborted. There were no adverse patient effects and no clinically significant delay in the procedure. There was no additional information provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2024168-2020-02958
MDR Report Key9884425
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-03-26
Date of Report2020-03-26
Date of Event2020-03-03
Date Mfgr Received2020-03-06
Device Manufacturer Date2019-12-09
Date Added to Maude2020-03-26
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 # 3005737652
Manufacturer StreetROAD NO.2 KM 58.0 CRUCE D
Manufacturer CityBARCELONETA PR 00617
Manufacturer CountryUS
Manufacturer Postal Code00617
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHT COMMAND 14
Generic NameGUIDE WIRE
Product CodeDQX
Date Received2020-03-26
Model Number2078175
Catalog Number2078175
Lot Number9120971
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 2020-03-26

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