MAUDE MDR 9884425

MDR report key
9884425
Report number
2024168-2020-02958
Event key
0
Event type
3
Date of event
2020-03-03
Date received
2020-03-26
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
1
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MS. LINDSEY BELL
Address
26531 YNEZ RD. TEMECULA CA 92591 US
Phone
951-951-9519
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HT COMMAND 14GUIDE WIREABBOTT VASCULARDQX207817520781759120971R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-260

Event Narratives#

N

Patient 1

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.

D

Patient 1

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.