The device was returned for analysis.All available information was investigated, and the reported kinked braided shaft was confirmed via returned device analysis.The reported difficult to advance and difficult to remove could not be replicated under the testing environment.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to this complaint.Additionally, a review of the complaint history identified no similar complaints reported for this lot.The cause for the reported difficult to advance and difficult to remove were likely due to patient anatomy (narrow vessel).The reported kinked braided shaft was a result of the difficult to advance.There is no indication of a product issue with respect to manufacture, design or labeling.
|
This is filed to report difficult removal.It was reported that this was a mitraclip procedure to treat degenerative mitral regurgitation (mr), with an mr grade of 4.When inserting the steerable guide catheter (sgc), into the groin resistance was felt with the narrow vessel.The sgc was able to advance and one clip was implanted without issues.Mr was reduced to 3.Upon removal of the sgc, it was noted that the sgc shaft was kinked.There was no clinically significant delay in the procedure and no adverse patient effects.The following information was provided on the medwatch report: after deployment of the clip it seemed to get caught at a point that wasn't normal.The device felt a bit difficult on guide insertion and it was thought maybe there was some narrowing in the femoral vein.Upon removal, it resisted a bit at the groin and a fluoro was shot and the physician noticed that the device was kinked or a small bend at the tip of the guide.There was no harm to the patient and the procedure successful and no other device was used.No additional information was provided.
|