Model Number DBP-EX-200SOL145 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
|
Patient Problems
Fistula (1862); Perforation of Vessels (2135); Thrombosis/Thrombus (4440)
|
Event Date 11/08/2022 |
Event Type
Injury
|
Manufacturer Narrative
|
Analysis of the reported device is in progress.A supplemental report will be submitted when the device analysis is completed.Csi id: (b)(4).
|
|
Event Description
|
A diamondback 360 peripheral orbital atherectomy device (oad) was used to treat a severely calcified left superficial femoral artery (sfa).Intravascular ultrasound (ivus) was inserted into the lesion, however, malfunctioned.While the ivus catheter was being exchanged, the viperwire advance guide wire remained in the sfa for approximately fifteen minutes.Two treatments on low speed and one treatment on high speed were performed.The oad was removed and balloon angioplasty was performed.Angiographic imaging of the lower leg revealed a thrombosis of the tibioperoneal trunk artery (tpt).A non-csi device was used to treat the tpt and popliteal artery.Angiographic imaging was performed and revealed a perforation in the popliteal artery and a fistula in the nearby vein.The area was ballooned to tamponade.Balloon angioplasty and stent placement were performed to complete the procedure.
|
|
Manufacturer Narrative
|
The device was returned for analysis.No damage or abnormalities were observed.The crown diameter was within specification.When tested, the device function as intended.The material inspection report for this guidewire lot number has been reviewed.No issues or discrepancies were noted during this review that would have contributed to the reported event.The device met material, assembly, and quality control requirements.H6 investigation conclusion code 22: the diamondback 360® peripheral orbital atherectomy system instructions for use manual states that vessel perforation is a potential adverse event that may occur and/or require intervention with use of the system.Csi id: (b)(4).
|
|
Search Alerts/Recalls
|