Device code (b)(4).Visual analysis was performed on the returned device.The reported difficulties were unable to be confirmed as the stent was already fully deployed.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 revealed no indication of a lot specific product quality issue.It should be noted that the absolute pro instruction for use states: should unusual resistance be felt at any time, including resistance unlocking the handle or rotating the thumbwheel, during stent deployment, the entire system should be removed together with the introducer sheath or guiding catheter as a single unit.Failure to follow these instructions could result in failure to deploy, difficulties with deployment, partial stent deployment or deployment in an unintended location.In this case, it does not appear that the use of extra force to rotate the thumbwheel and deploy the stent contributed to the difficulty, as the stent was ultimately deployed.In addition, with the stent already partially deployed, the stent system would not be able to be removed together with the introducer sheath or guiding catheter as a single unit without causing damage to the stent.The investigation was unable to determine a definitive cause for the reported difficulties.It may be possible that the distal shaft was bent or restricted in the anatomy (possibly at the aortic bifurcation) preventing the shaft lumens from moving freely and causing resistance with the thumbwheel.The chatter marks noted throughout the entire length of the distal sheath of the returned unit are consistent with the sheath being bent over a tight radius, further suggesting that anatomical conditions may have contributed to the difficulties encountered; however, this could not be confirmed.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.Na.
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