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Catalog Number SGC0702 |
Device Problems
Failure to Advance (2524); Deformation Due to Compressive Stress (2889)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 07/11/2023 |
Event Type
malfunction
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Event Description
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This is filed to report soft tip deformation due to compressive stress.It was reported that a patient presented with grade 4 degenerative mitral regurgitation (mr), and a strong and thick atrial septum/ fossa.During a mitraclip procedure, as the steerable guide catheter (sgc) was attempted to cross through the fossa, the soft tip became kinked.A replacement completed the procedure and one clip was implanted.The mr was reduced to grade 1.There were no adverse patient effects or clinically significant delay.No additional information was provided.
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Manufacturer Narrative
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Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
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Manufacturer Narrative
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In this case, the returned device analysis was unable to confirm the reported deformed/kinked soft tip.The distal shaft however, was noted to be kinked approximately 5mm from the marker band.Failure to advance could not be replicated in a testing environment as it was related to patient anatomy or procedural operational circumstances.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to the reported event.Additionally, a review of the complaint history identified no other complaints from the lot.All available information was investigated and the reported failure to advance the sgc resulting in the deformed (kinked) distal end of the sgc appears to be related to patient conditions (a strong and thick atrial septum/fossa).There is no indication of a product issue with respect to manufacture, design or labeling.
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Search Alerts/Recalls
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