Catalog Number C610134 |
Device Problems
Component Falling (1105); Difficult or Delayed Positioning (1157); Device Inoperable (1663)
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Patient Problems
Blood Loss (2597); No Known Impact Or Consequence To Patient (2692)
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Event Date 08/21/2017 |
Event Type
malfunction
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Manufacturer Narrative
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The actual device was not returned for evaluation.The investigation is currently ongoing.A follow up report will be submitted once the investigation is complete.No evaluation could be conducted due to the device not being returned.With no device return the exact cause of the reported event cannot be definitively determined based on the available information.A further investigation has been initiated.A review of the device history record of the involved product/lot # combination was conducted with no relevant findings.A search of the complaint file found one other reports with the involved product code/lot# combination.See mdr 2243441-2017-00123 for patient two & 2243441-2017-00124 for patient three.All available information has been placed on file in quality assurance at the manufacturing facility for appropriate tracking, trending and follow-up.
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Event Description
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The user facility reported a tamping mechanism issue when using the involved device.Follow up communication with the user facility reported: on three different patients the reported lot number/angioseal device all had issues.The tapinot tube didn't function on one, the real mechanism failed on the other and the cologen plug fell out of the other angioseal.All three patients were reported to be stable.Additional information was received on 8/24/17 update: it was reported that the tamper tube didn't function on its own and had to be manually tamped.A pre deployment angiogram was performed.Hemostasis was achieved by manual tamponing of the tube.It was reported stable/successful case.The outcome was reported to be successful.
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Manufacturer Narrative
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This report is being submitted as follow up no.2 to provide the completed investigation results.With no device return the exact cause of the reported event cannot be definitively determined based on the available information.
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Manufacturer Narrative
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This report is being submitted as follow up no.1.The investigation is currently ongoing.A follow up report will be submitted once the investigation is complete.All available information has been placed on file in quality assurance at the manufacturing facility for appropriate tracking, trending and follow-up.
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Search Alerts/Recalls
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