This is filed to report unable to straightened.It was reported that this was a mitraclip procedure to treat degenerative mitral regurgitation (mr) with a grade of 5.It was noted prolapse posterior.The steerable guide catheter (sgc) was inserted into the femoral vein, but then resistance was felt during advancement, and then the sgc tip became briefly stuck in the inferior vena cava (ivc).Therefore, the sgc was removed and inspected.The +/- knobs were checked and when the minus knob was applied, the sgc tip would not straightened.The minus knob was re-checked an additional time, but the sgc tip would not straightened.The sgc was not used in the patient and the procedure continued with a new sgc.Three clips were implanted, reducing mr to 1.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
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The device was not returned for analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot.Additionally, a review of the complaint history identified no other complaints reported from this lot.The investigation was unable to determine a cause for the reported physical resistance while advancing the steerable guide catheter (sgc).The inability to straighten the tip appears to be due to the resistance when advancing the device.The reported difficult removing from the anatomy (sgc tip became briefly stuck in the inferior vena cava) appears to be due to the sgc inability to straighten the tip.There is no indication of a product issue with respect to manufacture, design, or labeling.
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