Catalog Number 9-PFO-030 |
Device Problem
Difficult to Fold, Unfold or Collapse (1254)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 11/22/2023 |
Event Type
malfunction
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Event Description
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It was reported that a 30mm amplatzer pfo occluder was selected for implant on (b)(6) 2023 using a 9f amplatzer trevisio intravascular delivery system.During implant the left disc of the device took on a bulbous shape.The device was removed from the patient.The device still presented with a cobra shape on the surgical table, so the device was replaced with a new 30-25mm amplatzer talisman pfo occluder.There were no interactions with cardiac structures nor were there any angulations or kinks noted in the delivery system.The patient remained hemodynamically stable throughout the procedure.There were no clinically significant delays in the procedure.There were no adverse effects to the patient.
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Manufacturer Narrative
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An event of device deformity was reported.A returned device assessment could not be performed as the device was not returned for analysis.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all defined manufacturing specifications.Based on the information received, the cause of the reported incident could not be conclusively determined but could have been as a result of the use of a larger than recommended delivery system as the use of a larger sheath may influence deformations.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.Please note that the recommended size delivery system per the instructions for use, ip final pfo occinspection, n is an 8fna.
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Event Description
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N/a.
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Manufacturer Narrative
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An event of device deformity was reported.A returned device assessment could not be performed as the device was not returned for analysis.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed, and the product met all defined manufacturing specifications.Based on the information received, the cause of the reported incident could not be conclusively determined.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.There is no indication of a product quality issue with respect to labeling design or manufacturing of the device.Correction: h10 - investigation finding updated.
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Search Alerts/Recalls
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