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Model Number 26926 |
Device Problems
Fracture (1260); Activation, Positioning or Separation Problem (2906); Difficult to Advance (2920)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/19/2024 |
Event Type
Injury
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Event Description
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It was noted that stent partial deployment and stent fracture occurred.The 99% stenosed target lesion was located in the mildly tortuous and mildly calcified left distal superficial femoral artery and external iliac artery.Physician had crossed an old occluded in-stent stenosis.A laser atherectomy was then performed to prepare the vessel prior to deployment of the stent.Afterwards, a 5 x 150 x 130 innova stent was sent to realign the fractured old stent segment.However, physician struggled to track stent over a.014 pt choice wire, but eventually aligned stent where it was wanted.During the deployment, it was noted that the thumb wheel was not deploying the stent and when it was retracted, the stent was partially deployed about 10mm.Part of the stent was still in the body as the remaining stent was now located in the sheath, so the sheath and stent was removed together.The physician decided to send a sterling balloon catheter to deploy the remaining stent portion and the procedure was completed with a 6x60 innova.No patient complications were reported.
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Manufacturer Narrative
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Device evaluated by mfr: the complaint device was received for product analysis.The outer sheath, tip, inner sheath and the remainder of the device were checked for damage.Visual examination revealed that the handle is open.The middle sheath is separated 16cm from the distal end.There are multiple areas of buckling to the outer and middle sheath.The pull rack is separated.The separated distal section is stuck inside the nosecone while the separated proximal section is missing.The stent is no longer inside the middle sheath.Inspection of the remainder of the device, revealed no other damage or irregularities.The information provided suggested the customer used an undersized guidewire during deployment which likely led to insufficient support contributing damage found during analysis and the report from the field.
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Event Description
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It was noted that stent partial deployment and stent fracture occurred.The 99% stenosed target lesion was located in the mildly tortuous and mildly calcified left distal superficial femoral artery and external iliac artery.Physician had crossed an old occluded in-stent stenosis.A laser atherectomy was then performed to prepare the vessel prior to deployment of the stent.Afterwards, a 5 x 150 x 130 innova stent was sent to realign the fractured old stent segment.However, physician struggled to track stent over a.014 pt choice wire, but eventually aligned stent where it was wanted.During the deployment, it was noted that the thumb wheel was not deploying the stent and when it was retracted, the stent was partially deployed about 10mm.Part of the stent was still in the body as the remaining stent was now located in the sheath, so the sheath and stent was removed together.The physician decided to send a sterling balloon catheter to deploy the remaining stent portion and the procedure was completed with a 6x60 innova.No patient complications were reported.
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Search Alerts/Recalls
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