EDWARDS LIFESCIENCES EZ GLIDE AORTIC CANNULA; CATHETER, CANNULA AND TUBING, VASCULAR, CARDIOPULMONARY BYPASS
|
Back to Search Results |
|
Model Number EZF21A |
Device Problem
Fluid/Blood Leak (1250)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 02/05/2024 |
Event Type
malfunction
|
Manufacturer Narrative
|
H3: evaluation summary: initial product evaluation summary: report of cannula leakage was unable to be confirmed.Device was returned with visible traces of blood.As received, the connector was bonded to the cannula.A leak test was performed on the cannula and no leakage was observed between the connector and cannula bonding section.Per engineering, connection is solvent bonded.No other visual damage, contamination, or other abnormalities were found.H10: additional manufacturer narrative: the reported event was unable to be confirmed through preliminary investigation.The reported even is pending final evaluation analysis.A supplemental report will be submitted accordingly once the evaluation has been completed.Edwards will continue to review and monitor all reported events.Trends are monitored on a monthly basis and if action is required, appropriate investigation will be performed.
|
|
Event Description
|
It was reported that small amount of blood leakage between the connector and the ezf21a cannula body was noted about ten (10) minutes after the aortic blockage during surgery.The blood was dripping.The site was tied up with a thread to stop the leakage and it stopped.After that, the surgeon kept using the cannula.The patient status was reported as recovered.There was no visual abnormality noted before and after use on the cannula.The surgeon commented that the black thread to stop the leakage remained attached to the returned cannula.The surgeon suspected it is a bonding related malfunction.It is unknown how long in total the canula was used.There was no impact to the overall outcome of the procedure.There was no significant delay in the procedure.There was no change in procedural strategy required due to the leakage.The cannula was stored flat at the hospital.The cannula was used for mitral valvuloplasty.
|
|
Manufacturer Narrative
|
H11 additional manufacturer narrative: updated sections g3 (date new information received), g6 (type of report), h2 (follow up type), h6(updated coding for type of investigation, investigation findings, and investigation conclusions).Also reentered sections b1 and h3 for context and ensured the date in b4 was accurate.The following incudes additional information and conclusions for the evaluation (h3): per the product investigation engineering evaluation summary, the complaint of leakage was not confirmed upon return.Ifu/ labelling is adequate and no corrective action is required at this time.There is no evidence to suggest an edwards/supplier manufacturing defect.Per supplier dhr review and investigation, this support issue was not confirmed by (b)(6).Documentation - dhr review was completed, as result of this investigation.Could confirmed that good documentation practices were followed properly and no non-conformities or deviation associated to this work order were found.Solvent dispensed equipment used for tip and connector bonding process were reviewed and no maintenance or calibration issues were found.Equipment works as expected.Retained sample stored in guaymas facility of work order has been evaluated.No abnormal condition was found, connector and tip bonding sections show evidence of solvent, visual appearance is considered acceptable based on current acceptance criteria.Tensile test results of connector bonding work order meets the acceptance criteria >10 lbs.Samples were analyzed and accepted through a statistical testing report.In summary, the reported complaint was unable to be confirmed with assessment.Based on the information available, the complaint is unable to be confirmed and a definitive root cause cannot be conclusively determined.An edwards/ supplier defect has not been confirmed.Edwards will continue to monitor all reported events.Trends are monitored on a monthly basis and if action is required, appropriate investigation will be performed.
|
|
Search Alerts/Recalls
|
|
|