As reported, the calibrated markers (1 cm intervals) on a 5f 65cm 8 side-hole (sh) pigtail super torque angiographic catheter had slipped and moved to the base of the catheter.There were no reports of patient injury.This issue was discovered on screen while performing an iliac stenting during an endovascular aneurysm repair (evar).The device was not returned for evaluation.Without the return of the device or images for analysis, the reported customer event ¿marker band (super torque mb_-offset/out of position-prior to/during measurement¿ could not be confirmed.Failure to follow instructions may have contributed to the reported event as this device is contraindicated for use in evar procedures.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent to make the user aware of the risks.According to the instructions for use (ifu), although not intended as a mitigation of risk, ¿contraindications: do not use the super torque mb catheter in procedures where entrapment of the catheter between endovascular devices and the vessel wall may occur, for example endovascular aortic repair (evar) procedures.Manipulation of the catheter under excessive friction due to interaction with other devices or while trapped in the vasculature, can lead to stretching or elongation of the catheter.Stretching or elongation of the catheter during endovascular procedures could result in the marker bands moving along the catheter.In extreme cases, marker bands may come off the catheter and dislodge into the vascular system.¿ based on the available information, there is no indication that the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
|