Catalog Number 1008193-30 |
Device Problems
Failure to Fold (1255); Difficult to Remove (1528)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 09/19/2023 |
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 to treat a 70% stenosed de novo lesion in the iliac artery with mild calcification and mild tortuosity.The 5.0x30mm viatrac plus balloon dilatation catheter (bdc) was advanced to the target lesion and the balloon was inflated one time to 10 atmospheres.Negative pressure was held for 5 seconds to deflate the balloon, and although the balloon completely deflated, it did not rewrap/refold tightly.There was difficulty removing the bdc due to the poor refold; therefore, the bdc was removed together with the sheath as a single unit.There was no adverse patient effect and no clinically significant delay reported in the procedure.Another viatrac balloon was used in the procedure.No additional information was provided.
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Manufacturer Narrative
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Visual inspection was performed on the returned device.The reported failure to fold (winged balloon) was confirmed.The reported difficulty removing the device from the introducer sheath could not be replicated in a testing environment due to the condition of the returned device.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 identified no other similar incidents and/or complaints from this lot.The investigation was unable to determine a conclusive cause for the reported failure to fold (winged balloon); however, the reported difficulty removing the device appears to be related to circumstances of the procedure.There is no indication of a product quality issue with respects to the design, manufacture, or labeling of the device.
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Search Alerts/Recalls
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