Catalog Number C06040MV |
Device Problem
Difficult or Delayed Positioning (1157)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 05/16/2023 |
Event Type
malfunction
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Event Description
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As reported, a crease was noted on the 6x40mm smart control stent delivery system.The stent moved forward and did not cover the lesion.There was no reported patient injury.Multiple attempts to obtain supplemental information were made; however, additional event details were not provided.The device is expected to be returned for evaluation.
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Manufacturer Narrative
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The product history record review is anticipated; however, it has not yet been finalized.The device was received for analysis, but the engineering report is not yet available.Additional information is pending and will be submitted within 30 days upon receipt.
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Manufacturer Narrative
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A crease was noted on the 6x40mm smart control stent delivery system.The stent moved forward and did not cover the lesion.Multiple attempts to obtain supplemental information were made; however, additional event details were not provided.There was no reported patient injury.The device was returned for analysis.A non-sterile unit ¿pkg assy 6x040 smart vas120cm¿ was received coiled inside a clear plastic bag.The unit was unpacked to proceed with the evaluation.The unit was returned with the stent fully deployed; the stent was not included in the packaging for analysis.The locking tab was not returned.A kinked condition was observed located approximately on 106 cm from the distal tip.No other outstanding details were observed.Dimensional analysis was performed to verify the usable length of the device and the analysis was found to be within specification.Functional analysis was not performed due to the unit was returned fully deployed.However, the deployment process was simulated activating the mechanism, the unit performed as expected and no anomalies were observed.A product history record (phr) review of lot 18051098 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The complaint reported as ¿stent delivery system (sds) ~ deployment difficulty-inaccurate placement¿ was not confirmed.The unit was returned fully deployed and the usable length was found within specification.However, the complaint reported by the customer as ¿stent delivery system (sds) - kinked/bent¿ was confirmed.A kinked condition was observed on the returned device.The exact cause of this kink could not be conclusive determined during the product analysis.Procedural or handling factors might have contributed to this issue.Procedural and or handling factors may have led to the noted kink on the device.According to the instructions for use (ifu), ¿advance the device over the guidewire and through the introducer to the target site.If resistance is met during delivery system introduction, the system should be withdrawn and another system used.If resistance is felt during retraction of the outer sheath do not force deployment.Carefully withdraw the stent system without deploying the stent.¿ the product analysis does not suggest that the noted damages could be related to the manufacturing process of the unit.Therefore, no corrective or preventive actions will be taken at this time.
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Manufacturer Narrative
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A product history record (phr) review of lot18051098 revealed no anomalies or non-conformances during the manufacturing and inspection processes that could be associated with the event reported.Additional information is pending and will be submitted within 30 days upon receipt.
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Search Alerts/Recalls
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