Model Number 9-PDAP-05-02-L |
Device Problem
Migration or Expulsion of Device (1395)
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Patient Problem
Foreign Body Embolism (4439)
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Event Date 03/23/2021 |
Event Type
Injury
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Manufacturer Narrative
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The results/method and conclusion codes along with investigation results will be provided in the final report.
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Event Description
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On (b)(6) 2021, a 5/2 amplatzer piccolo occluder was selected for implant in a (b)(6) old patient weighing (b)(6) kgs with the following patent ductus arteriosus (pda) measurements: minimal diameter of 3.8mm and length of 4-4.5mm.During the procedure the device was implanted intraductal and during release the device embolized to a branch in the left pulmonary artery.The device snared and removed from the patient with no patient consequences.There was no clinically significant delay to the procedure and the patient remained hemodynamically stable.There was no other device implanted and the patient is currently stable.
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Manufacturer Narrative
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An event of embolization of the 5/2mm piccolo device was reported.A more comprehensive 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.The cause of the reported event could not be conclusively determined.A capa was initiated for further investigation on the device embolization, per internal procedures.
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Search Alerts/Recalls
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