Catalog Number S-45-100-120-P6 |
Device Problems
Difficult or Delayed Activation (2577); Mechanical Jam (2983); Activation Failure (3270)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 07/03/2023 |
Event Type
malfunction
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Manufacturer Narrative
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Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
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Event Description
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It was reported that the procedure was to treat a moderately calcified, mildly tortuous, 70% stenosed lesion in the superficial femoral artery (sfa).The 4.5x100 supera peripheral self-expanding stent system (sess) was advanced to the target lesion and deployment was attempted, however the stent only deployed approximately a quarter of the way when significant resistance was experienced with the thumbslide.The sess was withdrawn from the anatomy and a non-abbott device was used to successfully complete the procedure.There was no adverse patient sequela and no reported clinically significant delay in the procedure or therapy.No additional information was provided.
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Event Description
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Subsequent to the initially filed report, additional information was received: the issue was resistance with the thumbslide.The stent was implanted in the patient.No replacement device was used.No additional information was provided.
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Manufacturer Narrative
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The device was returned for analysis.The reported mechanical jam and the reported difficult or delayed activation were unable to be replicated in a testing environment due to the condition of the returned device.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history identified no other incidents from this lot.As there was no damage noted to the device during the inspection prior to use, the investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that interaction with the moderately calcified, mildly tortuous and 70% stenosed anatomy and/or inadvertent mishandling resulted in the noted multiple device damages (bends on the sheath sporadically, multiple bends on the shaft) thus during stent deployment resulted in the reported mechanical jam.Manipulation of the compromised device resulted in the noted bent ratchet ear (likely contributing to the reported difficulties) and ultimately resulted in the reported difficult/delayed activation.There is no indication of a product quality issue with respect to manufacture, design or labeling.H6: code 3270 was deleted, code 2577 added.
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Search Alerts/Recalls
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