Model Number 500-516 |
Device Problem
Material Twisted/Bent (2981)
|
Patient Problem
Unintended Radiation Exposure (4565)
|
Event Date 11/10/2022 |
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.510k/pma number is not applicable.De novo number: (b)(4).The device was discarded, thus no investigation could be completed.Based on the complaint details, it is likely that the user's technique by twisting back and forth caused the break in the working length.Per the ifu, it states to use gentle pressure on the laser sheath to advance the device.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 procedure commenced to remove an inferior vena cava filter (ivcf) due to caval occlusion, leg swelling, and pain.The physician chose a spectranetics 16f cavaclear laser sheath to remove the filter.When the physician was using the cavaclear, he torqued the device (twisted the device back and forth) in attempt to remove the ivcf.Afterward, he noticed the cavaclear's bifurcate handle felt warmer than normal.Examination of the device revealed a partial separation on the working length, just distal to the bifurcate handle with red light emitting from the area; therefore, the cavaclear was removed from the patient.A new 16f cavaclear was used to successfully remove the ivcf, and the patient survived the procedure.This event is being reported for unintended radiation exposure, potential for harm.
|
|
Search Alerts/Recalls
|
|