As the lot number for the device was provided, a manufacturing review will be performed.The sample was not returned to the manufacturer for inspection/evaluation.Therefore, the investigation of the reported event is inconclusive.Based upon the available information, the definitive root cause for this event is unknown.The instructions for use (ifu) is adequate for the reported device/patient code(s) and provides general instructions for use, as well as warnings, precautions and potential complications associated with the device.Upon receipt of new or additional information, a follow-up report will be submitted as applicable.(expiry date: 03/2023).
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H10: manufacturing review: the lot history records of this lot were reviewed with special attention to the manufacturing and inspection of this product and the product was found to have met the specification prior to shipment.Investigation summary: a physical sample was returned and evaluation was performed which indicates that the outer sheath was identified detached from the swivel nut which indicates excessive force.Reportedly, there was difficulty advancing through the lesion; this issue may be related to insufficient flushing of the device or to the use of inadequate accessories.Possible damage to the packaging, storage, unpacking, or preparation may be other contributing factors.In this case, the device was flushed prior to use and a 6f introducer sheath was used which is not appropriate as the label was recommended to use 9f.However, a hydrophilic guidewire was used with a device which it is not known if it was kept hydrated at all the time.The outer sheath was identified detached from the swivel nut which may be related to the difficulty that was experienced during advancing.The investigation is confirmed for detachment of the outer sheath.A definite root cause for the reported event could not be determined.Labeling review: in reviewing the relevant labeling for this product, it was found that the instructions for use sufficiently address the potential factors.The instructions for use state: 'prior to loading the endovascular system over a guide wire, both ports must be flushed with sterile saline to eliminate any air bubbles that may be trapped in the inner catheter lumen and/or the stent graft lumen.Flushing these lumens will also facilitate stent graft deployment.' under materials required the instructions for use state: 'introducer sheath with appropriate inner diameter', and the packaging labels indicate a minimum introducer size of 9f.Furthermore, the instructions for use state: 'if unusual resistance or high deployment force is encountered during stent graft deployment, abort the procedure, remove the delivery system and use an alternative device.' h11: section a through f ¿ the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.H3 other text : see h10.
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