Catalog Number 1011709-28 |
Device Problems
Detachment Of Device Component (1104); Kinked (1339); Failure to Advance (2524)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 07/25/2017 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).During processing of this complaint, attempts were made to obtain complete event, patient and device information.The device is expected to be returned for evaluation.It has not yet been received.A follow up report will be submitted with all relevant information.
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Event Description
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It was reported that the procedure was to treat a de novo mid left anterior descending artery.A non-abbott guide wire crossed the lesion and a 2.5 x 15 mm non-abbott semi-compliant balloon catheter was used for pre-dilatation.Then a 3.0 x 28 mm xience prime stent delivery catheter was advanced but during insertion, there was resistance with the anatomy and the proximal shaft became kinked and it separated outside the anatomy.Therefore, the device failed to cross the lesion and was simply removed and replaced by another 3.0 x 28 mm xience prime stent, which was deployed.Then, post-dilatation was done with a 3.5 x 20 mm non-abbott non-compliant balloon catheter to successfully complete the procedure.There was no clinically significant delay in the procedure and no adverse patient effects.No additional information was provided.
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Manufacturer Narrative
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Internal file number - (b)(4).Evaluation summary: a visual and dimensional inspection was performed on the returned device.The reported kinked shaft and shaft detachment were confirmed.The reported failure to advance could not be tested as it was based on operational circumstances.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history did not indicate a lot specific quality issue.The investigation determined that the reported difficulties appear to be related to circumstances of the procedure.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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Search Alerts/Recalls
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