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.
[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
Report Number | 2024168-2020-02958 |
MDR Report Key | 9884425 |
Report Source | COMPANY REPRESENTATIVE,HEALTH |
Date Received | 2020-03-26 |
Date of Report | 2020-03-26 |
Date of Event | 2020-03-03 |
Date Mfgr Received | 2020-03-06 |
Device Manufacturer Date | 2019-12-09 |
Date Added to Maude | 2020-03-26 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. LINDSEY BELL |
Manufacturer Street | 26531 YNEZ RD. |
Manufacturer City | TEMECULA CA 925914628 |
Manufacturer Country | US |
Manufacturer Postal | 925914628 |
Manufacturer Phone | 9519143996 |
Manufacturer G1 | ABBOTT VASCULAR, REG # 3005737652 |
Manufacturer Street | ROAD NO.2 KM 58.0 CRUCE D |
Manufacturer City | BARCELONETA PR 00617 |
Manufacturer Country | US |
Manufacturer Postal Code | 00617 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | HT COMMAND 14 |
Generic Name | GUIDE WIRE |
Product Code | DQX |
Date Received | 2020-03-26 |
Model Number | 2078175 |
Catalog Number | 2078175 |
Lot Number | 9120971 |
Operator | HEALTH PROFESSIONAL |
Device Availability | N |
Device Eval'ed by Mfgr | R |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | ABBOTT VASCULAR |
Manufacturer Address | 26531 YNEZ RD. TEMECULA CA 925914628 US 925914628 |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2020-03-26 |