Catalog Number VBHR080502A |
Device Problem
Material Separation (1562)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 09/24/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The review of the manufacturing paperwork verified that the lot met all pre-release specifications.
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Event Description
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On (b)(6) 2019, the patient was implanted with gore® viabahn® endoprostheses.It was reported the physician had dual access with two 12fr dryseal sheaths on the patients left side.It was reported the gore® viabahn® endoprostheses were implanted in the patient¿s left common iliac artery using a kissing technique.One (11x5) viabahn device was implanted retrograde from the groin.This device extended into the external iliac.A second (8x10) viabahn device was implanted antegrade from the axillary.This device reportedly extended into the internal iliac.The physician then placed a (9x15) viabahn device through the (8x10) viabahn device extending further into the internal artery.It was reported during extension of the (8x10) viabahn device into the common iliac artery a (8x5) viabahn device was advanced from the axillary sheath without issue into the (8x10) viabahn device in the common iliac.The physician deployed the stent fully.It was reported the deployment line broke at the hub of the catheter.The catheter was then removed without incident.There was reportedly no adverse events to the patient.
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Manufacturer Narrative
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Engineering evaluation states, based on the evaluation of the device, the following observations were made: no anomalies or non-routine maintenance were identified that could be attributed to the failure seen in this event.Therefore, based off of the evaluation performed, no manufacturing cause could be identified.Corrected conclusion code.
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Manufacturer Narrative
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Corrected g5 - combination product (yes).
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Search Alerts/Recalls
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