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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC IRELAND TURBOHAWK PLUS 6FR; CATHETER, PERIPHERAL, ATHERECTOMY

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MEDTRONIC IRELAND TURBOHAWK PLUS 6FR; CATHETER, PERIPHERAL, ATHERECTOMY Back to Search Results
Catalog Number THP-M
Device Problem Material Deformation (2976)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 11/16/2023
Event Type  malfunction  
Manufacturer Narrative
Product analysis a visual inspection appears to show that the guidewire lumen on the housing is ripped image analysis the image shows a physician holding up a turbohawk plus device.The guidewire is loaded through the device tip and is seen exiting out through the guidewire lumen indicating that the lumen is ripped.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
 
Event Description
It was reported that an attempt was made to use a  turbohawk to treat a calcified lesion in the right proximal superficial femoral a rtery. degree of tortuosity was moderate. degree of calcification was severe.Lesion stenosis was 70%.Device was inspected with no issues.Device was prepped per ifu.There was a break during removal from the patient, the guidewire lumen for rapid exchange (the black line) on the nose cone separated open, the black rapid exchange part of the device is completely out. a 7x45 terumo destination sheath over a 6.0 spider wire was used.Physician finished with angioseal.No patient injury.When the device was returned to the facility for evaluation, it was noted that the guidewire lumen was fully detached.
 
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Brand Name
TURBOHAWK PLUS 6FR
Type of Device
CATHETER, PERIPHERAL, ATHERECTOMY
Manufacturer (Section D)
MEDTRONIC IRELAND
parkmore business park west
galway
EI 
Manufacturer (Section G)
MEDTRONIC IRELAND
parkmore business park west
galway
EI  
Manufacturer Contact
alison sweeney
parkmore business park west
galway 
EI  
091708096
MDR Report Key18541850
MDR Text Key333200027
Report Number9612164-2024-00307
Device Sequence Number1
Product Code MCW
UDI-Device Identifier00763000402396
UDI-Public00763000402396
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K212027
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 01/19/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberTHP-M
Device Lot Number0011877110
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/06/2023
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 01/12/2024
Initial Date FDA Received01/19/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured07/20/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Age85 YR
Patient SexMale
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