Catalog Number CDS0702-NTW |
Device Problem
Incomplete Coaptation (2507)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 01/24/2024 |
Event Type
malfunction
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Event Description
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It was reported that a mitraclip procedure was performed to treat mixed mitral regurgitation (mr) with a grade of 3-4, and a short, thin, small, and calcified posterior leaflet.A mitraclip ntw was inserted and deployed on the mitral valve.However, following deployment, the clip detached from the posterior leaflet and remained attached to the anterior leaflet (single leaflet device attachment/slda).Difficulties visualizing the clip during the procedure occurred.The procedure was completed with one clip implanted, reducing the mr to a grade of 2.There were no adverse patient effects and no clinically significant delay in the procedure.
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Manufacturer Narrative
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The device was not returned for analysis.A review of the lot history record revealed 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.Based on available information, the reported incomplete coaptation (slda, single leaflet device attachment), associated with the clip detaching from the posterior leaflet, was due to pre-existing patient anatomy (i.E., thin and small posterior leaflet, and leaflet calcification) according to the physician.The reported image resolution poor was also due to challenging anatomy.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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