BOSTON SCIENTIFIC CORPORATION EMBOLD FIBERED DETACHABLE COIL SYSTEM; DEVICE, VASCULAR, FOR PROMOTING EMBOLIZATION
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Model Number 83910 |
Device Problems
Break (1069); Premature Activation (1484); Device-Device Incompatibility (2919); Material Integrity Problem (2978)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/21/2023 |
Event Type
Injury
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Event Description
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It was reported that the coil fractured and deployed prematurely.Both pieces of the coil had to be snared.A 10x50 embold fibered detachable coil system was selected for use in a splenic artery embolization procedure.Multiple coils were deployed without issue using a non-boston scientific microcatheter.The physician was attempting to position the embold coil but encountered difficulty in the coil forming as he intended.To assist in positioning, the delivery system was advanced in and out of the microcatheter multiple times.During one of these advancements, the coil broke in half, which prematurely deployed the distal portion of the coil into the artery while the proximal portion of the coil remained in the microcatheter.The proximal portion of the coil was then pushed out into the artery using a syringe.Neither portion of the coil was in an ideal location, so the physician elected to retrieve both fragments.During retrieval of one of the pieces, while pulling back the coil using a snare, the embold coil hooked onto the coil pack and began pulling it back.After some maneuvering, both pieces were retrieved.The procedure was completed using a non-boston scientific coil.
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Manufacturer Narrative
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Device analysis: returned product consisted of an embold fibered coil 10x50 attached to a snare device.No components of the embold device were returned apart from the coil.The coil showed severe stretching.Inspection of the remainder of the device revealed no other damage or irregularities.The complaint of coil damage was confirmed due to the reported event and the coil returned on the snare device.There was no evidence of any damage or irregularities contributing to the reported premature deployment difficulty, which could not be confirmed because the clinical circumstances could not be replicated.
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Event Description
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It was reported that the coil fractured and deployed prematurely.Both pieces of the coil had to be snared.A 10x50 embold fibered detachable coil system was selected for use in a splenic artery embolization procedure.Multiple coils were deployed without issue using a non-boston scientific microcatheter.The physician was attempting to position the embold coil but encountered difficulty in the coil forming as he intended.To assist in positioning, the delivery system was advanced in and out of the microcatheter multiple times.During one of these advancements, the coil broke in half, which prematurely deployed the distal portion of the coil into the artery while the proximal portion of the coil remained in the microcatheter.The proximal portion of the coil was then pushed out into the artery using a syringe.Neither portion of the coil was in an ideal location, so the physician elected to retrieve both fragments.During retrieval of one of the pieces, while pulling back the coil using a snare, the embold coil hooked onto the coil pack and began pulling it back.After some maneuvering, both pieces were retrieved.The procedure was completed using a non-boston scientific coil.
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Search Alerts/Recalls
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