Catalog Number 1012167-15 |
Device Problems
Deflation Problem (1149); Failure to Fold (1255); Difficult to Remove (1528); Defective Device (2588)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 09/09/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.Exemption number e2019001.
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Event Description
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It was reported that the procedure was to treat a mildly tortuous, heavily calcified mid left anterior descending de novo lesion that was 85% stenosed.A balance middleweight universal ii guide wire (gw) crossed the lesion.Pre-dilatation was performed with (2) 3.0x15mm non-abbott balloons.Then a 3.0x15mm multi-link 8 stent-balloon was advanced and placed at the lesion.The stent-balloon was inflated twice and up to 10 atmospheres.After the stent deployed, the device was deflated and pulled out within the guiding catheter.However, resistance was felt during removal with the guiding catheter.Once the device was outside of the anatomy it was noted that the balloon did not refold back tightly and the diameter was bigger than normal.There was 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 returned for analysis.The reported deflation problem and defective device oversized balloon were unable to be confirmed.The reported difficult to remove was unable to be replicated in a testing environment due to the condition of the returned device.The reported failure to fold was confirmed.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history identified no other incidents from this lot.The investigation determined a conclusive cause for the reported difficulties cannot be determined.There is no indication of a product quality issue with respect to manufacture, design or labeling.
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Event Description
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It was reported that the procedure was to treat a mildly tortuous, heavily calcified mid left anterior descending de novo lesion that was 85% stenosed.A balance middleweight universal ii guide wire (gw) crossed the lesion.Pre-dilatation was performed with (2) 3.0x15mm non-abbott balloons.Then a 3.0x15mm multi-link 8 stent-balloon was advanced and placed at the lesion.The stent-balloon was inflated twice and up to 10 atmospheres.After the stent deployed, the device was deflated and pulled out within the guiding catheter.However, resistance was felt during removal with the guiding catheter.Once the device was outside of the anatomy it was noted that the balloon did not refold back tightly and the diameter was bigger than normal.There was no adverse patient effects and no clinically significant delay in the procedure.12/17/2019: additional information received today states that the balloon deflation took 10-15 minutes.No additional information was provided.
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Search Alerts/Recalls
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