Catalog Number 25CAVGJ-514 00 |
Device Problems
Product Quality Problem (1506); Device Markings/Labelling Problem (2911)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/12/2023 |
Event Type
malfunction
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Event Description
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It was reported that on (b)(6) 2023, a 25mm masters valve was selected for an implant.During the procedure, the physician discovered that the dimensions for the outer diameter of the valve was not 25mm and it's less than that and for the graft it was 31mm.The device was implanted in the patient.The patient is stable.
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Manufacturer Narrative
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Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
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Event Description
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It was reported that on (b)(6) 2023, a 25mm masters valve was selected for an implant.During the procedure, the physician discovered that the dimensions for the outer diameter of the valve was not 25mm and it's less than that and for the graft it was 31mm.The device was implanted in the patient.The patient is stable.
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Manufacturer Narrative
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An event of the valve dimensions not being correct was reported.A returned device assessment could not be performed as the device remains implanted and was not returned for analysis.However images of the valve were received for examination.In the two images received, a ruler is placed on the valve and appeared to be measuring the orifice of the valve, not the tissue anulus diameter.The orifice of the valve can measure below 25mm, it is the tissue anulus diameter which is expected to measure 25mm.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed and the product met all specifications.This includes measurement of the tissue annulus diameter during the manufacturing process, which was reported to measure 25.03mm, within specifications for a 25mm valve.The cause of the reported event appears to be due to a misunderstanding of the valve's measurements.There is no indication of a product quality issue with regards to manufacture, design, or labeling.
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Search Alerts/Recalls
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