inforMED
MalfunctionLDF

PACEL FLOW DIRECTED PACING CATHETER

Received Oct 27, 2025 · Event occurred Oct 16, 2025

Report 2182269-2025-00137 · MDR key 23391561

Device

Generic name

Electrode, Pacemaker, Temporary

Manufacturer

Abbott Medical

Model number

401764

Catalog number

401764

Lot number

10786086

Product problems

  • Material Separation
  • Material Separation

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

DURING A TAVI (AORTIC VALVE STENOSIS) PROCEDURE, IT WAS OBSERVED THAT THE DISTAL PORTION OF THE CATHETER HAD DETACHED WHILE INSIDE THE SHEATH. THE SHEATH WITH FRAGMENT INSIDE WAS REMOVED FROM THE PATIENT. THE CATHETER WAS REPLACED, AND THE PROCEDURE WAS COMPLETED WITH NO ADVERSE CONSEQUENCES TO THE PATIENT. THE FRAGMENT WAS DISCARDED BY THE HOSPITAL.

Additional Manufacturer Narrative

ADDITIONAL INFORMATION: D9, G3, H2, H3, H6. ONE 5F PACEL (FLOW DIRECT) PACING CATHETER WAS RECEIVED FOR ANALYSIS. THE DISTAL TIP ELECTRODE WAS NOTED TO BE FRACTURED AND DETACHED FROM THE CATHETER SHAFT. THE FRACTURED AND DETACHED TIP ELECTRODE WAS NOT RETURNED WITH THE DEVICE. THE BATCH RECORD WAS REVIEWED TO ENSURE THAT EACH MANUFACTURING AND INSPECTION OPERATION WAS PERFORMED.