Catalog Number SGC0705 |
Device Problems
Difficult to Insert (1316); Deformation Due to Compressive Stress (2889)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 04/25/2022 |
Event Type
malfunction
|
Manufacturer Narrative
|
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.The additional mitraclip device referenced in is filed under separate medwatch report number.
|
|
Event Description
|
This is being filed to report the damage to the soft tip.It was reported that this was a mitraclip procedure to treat functional mitral regurgitation (mr) with a grade of 4.Resistance was met when inserting the steerable guide catheter (sgc) into the vein and the sgc was confirmed to be bent on fluoro.The sgc was removed and it was noted the soft tip was slightly deformed therefore the device was not used and a new sgc was placed.The clip delivery system (cds) was advanced and placed on the mitral valve.While establishing final arm angle (efaa) the clip jumped opened.Troubleshooting was unsuccessful therefore the cds was removed.One clip was implanted, reducing mr to 2.There was no clinically significant delay in the procedure and no adverse patient effects.No additional information was provided.
|
|
Manufacturer Narrative
|
All available information was investigated and the reported difficult to insert could not be tested via returned device analysis.The reported bent shaft and deformed soft tip were confirmed.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history did not indicate a lot-specific quality issue.The investigation determined the reported difficult to insert appears to be related to patient morphology/pathology.The reported bent shaft and deformed soft tip appear to be due the difficulty inserting.There is no indication of a product issue with respect to manufacture, design or labeling.E1, address and occupation corrected.
|
|
Search Alerts/Recalls
|