MAUDE Adverse Event Report: SPECTRANETICS CORPORATION TURBO-ELITE LASER ATHERECTOMY CATHETER; CATHETER, PERIPHERAL, ATHERECTOMY

Model Number 417-152

Device Problems Material Separation (1562); Material Deformation (2976)

Patient Problems Unintended Radiation Exposure (4565); No Clinical Signs, Symptoms or Conditions (4582)

Event Date 03/19/2024

Event Type  malfunction  

Manufacturer Narrative

H3/h6): the device was returned to the manufacturer but the evaluation has not yet begun.A supplemental mdr will be submitted upon completion of the device evaluation and investigation.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.

Event Description

A peripheral atherectomy procedure commenced (indication for procedure, lesion location unk).A spectranetics turbo-elite laser atherectomy catheter was used to treat the patient.During use, the turbo-elite stopped working inside the patient and was hot to the touch, with device damage observed.Use of the turbo-elite was discontinued, and another catheter was used to complete the procedure with no reported patient or user harm.This event is being reported for unintended radiation exposure, potential for harm.

Manufacturer Narrative

B5): this event is no longer reportable after device evaluation and investigation completed.D4): device serial number populated.G3): the device evaluation and investigation were completed 18apr2024.H3): the turbo-elite was returned for evaluation.Visual inspection found a pucker to the outer jacket present 90 cm from the distal tip.Red light was observed at the pucker and one broken fiber was noted, but there was no breach to the outer jacket.Biologics and 4 dead fibers were detected at the distal tip.No other device damage was observed.Calibration was not attempted due to the broken fiber and the nature of the reported complaint.H6): based on the device evaluation and investigation, the cause of the catheter damage could not be established.Medical device problem code corrected to 2976 (from 1562).Hecc code corrected to 4582 (from 4565).Investigation findings code replaced with 3243 (from 3233).Investigation conclusions code replaced with 4315 (from 11).All other codes from the initial mdr remain applicable.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.

Event Description

This event is no longer reportable for unintended radiation exposure - potential for harm.Per the returned device analysis, no breach to the outer jacket was observed.

• Brand Name: TURBO-ELITE LASER ATHERECTOMY CATHETER
• Type of Device: CATHETER, PERIPHERAL, ATHERECTOMY
• Manufacturer (Section D): SPECTRANETICS CORPORATION; 9965 federal drive; colorado springs CO 80921
• Manufacturer (Section G): SPECTRANETICS CORPORATION; 9965 federal drive; colorado springs CO 80921
• Manufacturer Contact: barbara creel ; 9965 federal drive; colorado springs, CO 80921 ; 719447-246
• MDR Report Key: 19089708
• MDR Text Key: 340585626
• Report Number: 3007284006-2024-00074
• Device Sequence Number: 1
• Product Code: MCW
• UDI-Device Identifier: 00813132024734
• UDI-Public: (01)00813132024734(17)250815(10)FAZ23H08A
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: K170059
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional,Company Representative
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 04/24/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/11/2024
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 417-152
• Device Catalogue Number: 417-152
• Device Lot Number: FAZ23H08A
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/26/2024
• Is the Reporter a Health Professional?: Yes
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 08/08/2023
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: GUIDE CATHETER MANUFACTURER/SIZE UNK; GUIDE WIRE MANUFACTURER/SIZE UNK; INTRODUCER SHEATH MANUFACTURER/SIZE UNK; SPECTRANETICS CVX-300 EXCIMER LASER SYSTEM
• Patient Sex: Male
• Patient Ethnicity: Non Hispanic
• Patient Race: White