BOSTON SCIENTIFIC CORPORATION PERIPHERAL ROTALINK PLUS; CATHETER, PERIPHERAL, ATHERECTOMY
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Model Number 29720 |
Device Problems
Entrapment of Device (1212); Detachment of Device or Device Component (2907)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/23/2024 |
Event Type
malfunction
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Event Description
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It was reported that the burr would not advance or pull back on wire, lodged in calcified area and broke in half.The 90% stenosed target lesion was located in the severely tortuous and severely calcified vessel.A 1.25mm peripheral rotalink plus and a rotawire were selected for use.During the procedure, the burr was used successfully until it did not go through a tight calcified lesion.Subsequently, the burr would not advance or pull back on wire and seemed to have lodged in calcified area; not advancing forward or on dyna glide.The catheter and wire were then pulled out together.After removal, the burr was removed intact but broke in half (due to calcification).The detached portion came out with catheter, and nothing was left behind.The procedure was completed and there were no patient complications reported.
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Manufacturer Narrative
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Device evaluated by manufacturer: the burr catheter was received attached to the advancer unit.The advancer, handshake connections, sheath, coil, burr and annulus were visually examined.Inspection of the device found that the coil was kinked, stretched, and detached at 46cm from the handshake connection.Functional testing was initially performed using the returned rotawire.During testing, the returned rotawire was able to be removed with resistance but was not able to be reinserted due to the damaged coil.Further functional testing of the returned device was not able to be performed due to the damaged coil.Product analysis confirmed the reported detachment and stuck wire, as the coil was kinked, stretched, and detached, preventing insertion of the rotawire.The reported burr becoming stuck within the lesion was not able to be confirmed as clinical circumstances were not able to be replicated.
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Event Description
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It was reported that the burr would not advance or pull back on wire, lodged in calcified area and broke in half.The 90% stenosed target lesion was located in the severely tortuous and severely calcified vessel.A 1.25mm peripheral rotalink plus and a rotawire were selected for use.During the procedure, the burr was used successfully until it did not go through a tight calcified lesion.Subsequently, the burr would not advance or pull back on wire and seemed to have lodged in calcified area; not advancing forward or on dyna glide.The catheter and wire were then pulled out together.After removal, the burr was removed intact but broke in half (due to calcification).The detached portion came out with catheter, and nothing was left behind.The procedure was completed and there were no patient complications reported.
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Search Alerts/Recalls
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