Model Number 9-ASD-MF-025 |
Device Problem
Material Deformation (2976)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 12/15/2021 |
Event Type
malfunction
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Event Description
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It was reported that on (b)(6) 2021, a 25mm amplatzer cribriform occluder was selected for implant.During positioning, the left disc deployed with a bulbous shape and was retracted and removed from the patient.The device was tested outside the patient and the deformation persisted.A new 25mm amplatzer cribriform occluder was successfully implanted.There was no clinically significant delay in the procedure and the patient remained hemodynamically stable throughout.No patient consequences were reported.No additional information was provided.
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Manufacturer Narrative
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The results/method and conclusion codes along with investigation results will be provided in a subsequent submission.
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Manufacturer Narrative
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The reported event of device deformity could not be confirmed.A more comprehensive assessment could not be performed as the device was not returned for analysis.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed and the product met all specifications.Based on the information received, the cause of the reported incident could not be conclusively determined.
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Search Alerts/Recalls
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