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Catalog Number SGC0702 |
Device Problems
Failure to Advance (2524); Material Split, Cut or Torn (4008)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/15/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
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Event Description
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This is filed to report the steerable guide catheter (sgc) soft tip tear.It was reported the mitraclip procedure was performed to treat grade 4 degenerative mitral regurgitation.The vessel was dilated with a 20f dilator.When inserting the steerable guide catheter (sgc) ensemble over the stiff wire into the vessel, resistance was felt after approximately 3-4 cm.The sgc was removed, and the sgc soft tip was noted to be torn.The vessel was dilated again and a new sgc was used without issue.One clip was implanted, reducing mr to <1.There were no adverse patient effects and no clinically significant delay in the procedure.
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Manufacturer Narrative
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The device was returned and investigated.The returned steerable guide catheter (sgc) did not confirm the reported material split/cut as no cut/split was noted.The reported failure to advance could not be replicated in the testing environment; however, the sgc soft tip was noted to be stretched during returned device analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have resulted in this event.Additionally, a review of the complaint history identified no other complaints reported from this lot.All available information was investigated, and a conclusive cause for the reported failure to advance could not be determined; however, the observed stretched sgc soft tip was an outcome of the reported failure to advance.A conclusive cause for the reported material split/cut could not be determined.There is no indication of a product issue with respect to manufacture, design, or labeling.
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Search Alerts/Recalls
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