Model Number 1011344-40 |
Device Problems
Difficult to Remove (1528); Difficult to Advance (2920); Mechanical Jam (2983); Activation Failure (3270)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 06/28/2023 |
Event Type
malfunction
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Manufacturer Narrative
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Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.
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Event Description
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It was reported that the procedure was performed to treat a lesion in the internal carotid artery with moderate tortuosity.An emboshield nav6 filter was deployed.The 7-10 acculink carotid stent system was advanced and resistance was noted with the anatomy.During an attempt to deploy the stent, resistance was felt on the thumbslide.After several attempts the stent completely failed to deployed.During removal, resistance was noted with the anatomy.Another acculink was used to complete the procedure.There were no adverse patient effects and there was no clinically significant delay in the procedure.No additional information was provided.
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Manufacturer Narrative
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The device was returned for analysis.The reported activation failure and the reported mechanical jam were able to be confirmed.The reported difficult to advance and the reported difficult to remove were unable to be replicated in a testing environment as they were based on operational circumstances.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history did not indicate a lot specific quality issue.The investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that resistance was met with the moderate tortuosity anatomy resulting in the reported difficult to advance and the reported difficult to remove.Interaction with the moderate tortuosity anatomy/manipulation of the device and/or inadvertent mishandling likely resulted in the noted device damages (multiple bends in the entire length of the shaft) thus resulting in the reported/noted mechanical jam and ultimately resulting in the reported activation/deployment failure.There is no indication of a product quality issue with respect to manufacture, design or labeling.
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Search Alerts/Recalls
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