Lot Number 0028100388 |
Device Problems
Contamination (1120); Device Dislodged or Dislocated (2923)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/19/2023 |
Event Type
malfunction
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Event Description
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It was reported that stent dislodgement and device contamination occurred.The 82% stenosed target lesion was located in the severely calcified proximal left anterior descending artery.A 1.20mm x 8mm emerge push balloon catheter was advanced for pre-dilation.The device failed to cross the lesion and was detached outside the patient's body.A 4.50 x 12mm synergy megatron drug-eluting stent failed due to contamination and the stent dislodged outside of the patient's body.Another of same device was used to complete the procedure.No patient complications were reported, and the patient condition was stable.
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Event Description
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It was reported that stent dislodgement and device contamination occurred.The 82% stenosed target lesion was located in the severely calcified proximal left anterior descending artery.A 1.20mm x 8mm emerge push balloon catheter was advanced for pre-dilation.The device failed to cross the lesion and was detached outside the patient's body.A 4.50 x 12mm synergy megatron drug-eluting stent failed due to contamination and the stent dislodged outside of the patient's body.Another of same device was used to complete the procedure.No patient complications were reported, and the patient condition was stable.
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Manufacturer Narrative
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Device evaluated by mfr.: synergy megatron 4.50 x 12mm stent delivery system was returned for analysis.A visual examination of the stent found no issues.There was no sign of damage, stretching or lifting of the stent struts.The stent showed no signs of movement and was set between the proximal and distal markerbands.The stent outer diameter was measured and the result was within max crimped stent profile measurement.The balloon cones were reviewed, and no issues were noted.The balloon wings were tightly wrapped and evenly folded and were not subjected to positive pressure.A visual and microscopic examination of the bumper tip showed no signs of distal tip damage.A visual and tactile examination of the hypotube shaft found no issues.A visual and tactile examination of the outer and mid-shaft section and a visual examination of the inner lumen found no issues along the shaft polymer extrusion.No issues were identified during analysis.
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Search Alerts/Recalls
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