Model Number 0684-00-0295-05 |
Device Problems
Difficult to Insert (1316); Defective Component (2292); Defective Device (2588)
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Patient Problems
No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 02/02/2021 |
Event Type
malfunction
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Manufacturer Narrative
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Complete event site name:(b)(6).Complete event site address: (b)(6).The product has been returned to the manufacturer, but is pending investigation.Once the investigation is completed a supplemental report with our findings will be submitted.Complaint record id #: (b)(4).
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Event Description
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It was reported that after removing the intra-aortic balloon (iab) from the packaging, the customer noticed the tip of the iab was broken and could not be inserted.There was no patient harm or adverse event reported.
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Manufacturer Narrative
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Corrected information: section h changed medical device ¿ problem code 2292 to 2588 device evaluation: the iab was returned with the membrane completely unfolded with the one-way valve attached.No blood was visible on the catheter.The sheath was not returned for evaluation.The catheter tubing was observed to be flattened shaped along its length.This may occur if a vacuum is held with the one-way valve attached for a long period of time on the catheter causing the catheter tubing to lose its round shape.No damage was observed on the iab tip.The one-way valve was vacuum tested and it held vacuum.A laboratory insertion test was unable to be performed due to the membrane being unfurled and the catheter tubing returned condition.An underwater leak test of the balloon, catheter, y-fitting and extracorporeal tubing was performed and no leaks were detected.A leak may impact the ability to maintain vacuum.We are unable to confirm the reported difficulty during insertion because of the returned condition of the catheter and we are unable to mimic the clinical setting.A device and lot history record review was completed for the reported product.No nonconformances were found that are considered to be related to the event.The failure mode is addressed in the risk file and is operating within its risk profile.The ifu addresses the reported failure.There were no ncmrs identified which could cause or contribute to the reported failure.The investigation does not indicate that the device was inadvertently released as non-conforming or an adulterated product or was a counterfeit.The complaint history review did not identify an adverse trend (increase in number of complaints over past three (3) months).Based on the rational provided above, no escalation to the capa process is required.Reference complaint (b)(4).
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Event Description
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It was reported that after removing the intra-aortic balloon (iab) from the packaging, the customer noticed the tip of the iab was broken and could not be inserted.There was no patient harm or adverse event reported.
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Search Alerts/Recalls
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