It was reported a 16mm amplatzer septal occluder was chosen for procedure.During the procedure, as the user attempted to implant the device the user performed a "wiggle maneuver" and the right disc dislodged from the left atrium.The device was exchanged with a larger, 18mm amplatzer septal occluder however the device both discs were reported to be touching the posterior wall of the aorta.The device was exchanged with a new, smaller 17 mm amplatzer septal occluder.When the occluder was re-sheathed a couple of times, the device presented in a "cobra" shape.The device was exchanged with a new, 17 mm amplatzer septal occluder with a different lot number.The device was place successfully.Although the patient did remain stable throughout the procedure, the event did result in a prolonged episode of care.No additional information has been provided.
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