Catalog Number 9-VSDMUSCPI-022 |
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 02/01/2024 |
Event Type
malfunction
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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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Event Description
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It was reported that on (b)(6) 2024, a 22mm amplatzer post-infarct muscular vsd occluder was chosen for implant using an 12f amplatzer trevisio intravascular delivery system.During the release of the device, it had a cobra deformation.The deformed device was never released from the delivery cable while inside the patient.The device was recaptured after some attempts.There was no report of any interaction with cardiac structures during deployment and no report of any angulation/kink noticed with the delivery system.A new 24mm amplatzer post-infarct muscular vsd occluder was chosen and completed the procedure.The patient remained hemodynamically stable throughout the procedure.There was no clinically significant delay in procedure and no adverse patient effects.The patient was reported stable.
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Manufacturer Narrative
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An event of device deformity could not be confirmed.Use of the incorrect size delivery system, anatomical interference, and angulation or kink in the delivery system upon deployment are potential causes of the reported event.Information from the field indicated that there was no anatomical interference, or any angulation or kink in the delivery system upon deployment.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 specifications.Based on the information received, the cause of the reported incident could not be conclusively determined.
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Event Description
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It was reported that on (b)(6) 2024, a 22mm amplatzer post-infarct muscular vsd occluder was chosen for implant using an 12f amplatzer trevisio intravascular delivery system.During the release of the device, it had a cobra deformation.The deformed device was never released from the delivery cable while inside the patient.The device was recaptured after some attempts.There was no report of any interaction with cardiac structures during deployment and no report of any angulation/kink noticed with the delivery system.A new 24mm amplatzer post-infarct muscular vsd occluder was chosen and completed the procedure.The patient remained hemodynamically stable throughout the procedure.There was no clinically significant delay in procedure and no adverse patient effects.The patient was reported stable.
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Search Alerts/Recalls
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