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U.S. Department of Health and Human Services

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

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THE SPECTRANETICS CORPORATION SPECTRANETICS TURBO ELITE LASER ATHERECTOMY CATHETER; CATHETER, PERIPHERAL, ATHERECTOMY Back to Search Results
Model Number 420-006
Device Problem Material Puncture/Hole (1504)
Patient Problem Unintended Radiation Exposure (4565)
Event Date 12/30/2021
Event Type  malfunction  
Manufacturer Narrative
Patient''s date of birth, age unk.Patient''s weight unk.Patient's ethnicity/race unk.Relevant tests/laboratory data unk.Other relevant history unk.The device was discarded; thus no investigation could be completed.
 
Event Description
A peripheral atherectomy procedure commenced to treat a lesion in the patient''s superficial femoral artery (sfa).A spectranetics turbo elite laser atherectomy catheter was used to treat the patient.During the procedure, a pinhole was observed approximately 3 cm away from the luer hub, where the device flush port is located.Laser light was visible shining through the hole.The device was used to finish the procedure with no reported harm to the patient.This event is being reported for unintended radiation exposure, potential for harm.
 
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Brand Name
SPECTRANETICS TURBO ELITE LASER ATHERECTOMY CATHETER
Type of Device
CATHETER, PERIPHERAL, ATHERECTOMY
Manufacturer (Section D)
THE SPECTRANETICS CORPORATION
9965 federal drive
colorado springs CO 80921
Manufacturer (Section G)
THE SPECTRANETICS CORPORATION
9965 federal drive
colorado springs CO 80921
Manufacturer Contact
barbara creel
9965 federal drive
colorado springs, CO 80921
MDR Report Key13318296
MDR Text Key290456828
Report Number1721279-2022-00009
Device Sequence Number1
Product Code MCW
UDI-Device Identifier00813132024758
UDI-Public(01)00813132024758(17)230916(10)FBA21J08A
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K170059
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 12/30/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/21/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date09/16/2023
Device Model Number420-006
Device Catalogue Number420-006
Device Lot NumberFBA21J08A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received12/30/2021
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Date Device Manufactured09/08/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Treatment
ABBOTT COMMAND GUIDE WIRE SIZE UNK; SPECTRANETICS CVX-300 EXCIMER LASER SYSTEM; TERUMO 6F INTRODUCER SHEATH
Patient SexMale
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