Catalog Number B1080-060 |
Device Problems
Material Rupture (1546); Material Separation (1562); Improper or Incorrect Procedure or Method (2017); Difficult to Advance (2920)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 10/05/2023 |
Event Type
Injury
|
Manufacturer Narrative
|
Manufacturer's investigation is still pending at this time.Results and conclusions will be provided in the final report.H6: device code 2017 clarifier - above rated burst pressurena.
|
|
Event Description
|
It was reported that the procedure was performed to treat a lesion in the hepatic trunk artery.The 8x60mm armada 35 percutaneous transluminal angioplasty (pta) catheter met resistance during advancement due to the lesion; however, was inflated twice up to 12 atmospheres and a rupture occurred.During removal the device separated into two pieces and a fragment became stuck on the wire; therefore, a loop snared was used to retrieve the separated balloon fragment.There were no reported adverse patient sequela and no clinically significant delay.No additional information was provided.
|
|
Manufacturer Narrative
|
Visual inspection was performed on the returned device.The reported balloon rupture and separation were confirmed.The reported difficulty to advance could not be replicated in a testing environment as it was based on operational circumstances.A review of the lot history record revealed no manufacturing nonconformities that would have contributed to this complaint.Additionally, a review of the complaint history identified no other similar incidents and/or complaints from this lot.The investigation determined the reported difficulty advancing the device, separation and unexpected medical intervention appear to be related to operational context; however, a conclusive cause for the reported balloon rupture could not be determined.There is no indication of a product quality issue with respect to design, manufacture or labeling of the device.H6- device code 2017 was removed.
|
|
Event Description
|
It was reported that the procedure was performed to treat a lesion in the hepatic trunk artery.The 8x60mm armada 35 percutaneous transluminal angioplasty (pta) catheter met resistance during advancement due to the lesion; however, was inflated twice up to 12 atmospheres and a rupture occurred.During removal the device separated into two pieces and a fragment became stuck on the wire; therefore, a loop snared was used to retrieve the separated balloon fragment.There were no reported adverse patient sequela and no clinically significant delay.No additional information was provided.
|
|
Search Alerts/Recalls
|