Catalog Number 1011922-060 |
Device Problems
Break (1069); Premature Activation (1484); Difficult to Remove (1528)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 06/09/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The device was received.Investigation is not yet complete.A follow up report will be submitted with all relevant information.
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Event Description
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It was reported that the procedure was to treat the right external iliac artery with heavy calcification and mild tortuosity.There was a dissection in the vessel.The 7.0x60 mm absolute pro self-expanding stent system (sess) was flushed and the stylet was removed and the delivery system was moved over the non-abbott guide wire through the 6fr sheath into the vessel.Before reaching the target lesion it was noted that the handle of the device had broken apart and the proximal part of the catheter was not fixed in the handle anymore.Therefore the device was removed.The guide wire was clamped [stuck] somewhere in the guide wire lumen so the guide wire was inadvertently removed as well so a new way had to be found to the dissection.A non-abbott stent was used to complete the procedure.There were no reported adverse patient effects.Although there was a delay in the procedure, there was no effect to the patient due to the extra time.No additional information was provided.
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Manufacturer Narrative
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The device was returned for analysis.The reported break-handle and the reported difficult to remove were unable to be confirmed.The reported premature activation was able to be 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.As there was no damage noted to the device during the inspection prior to use, the investigation determined the reported difficulties appear to be related to circumstances of the procedure as it is likely that during advancement onto the guide wire inadvertent mishandling resulted in the noted kinked sheath; thus resulting in guide wire resistance and the reported difficult to remove.An attempt to separate the device from the guide wire inadvertently resulted in a partial activation of the stent.The reported handle break was not confirmed.There is no indication of a product quality issue with respect to manufacture, design or labeling.Na.
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Event Description
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It was reported that the procedure was to treat the right external iliac artery with heavy calcification and mild tortuosity.There was a dissection in the vessel.The 7.0x60 mm absolute pro self-expanding stent system (sess) was flushed and the stylet was removed and the delivery system was moved over the non-abbott guide wire through the 6fr sheath into the vessel.Before reaching the target lesion it was noted that the handle of the device had broken apart and the proximal part of the catheter was not fixed in the handle anymore.Therefore the device was removed.The guide wire was clamped [stuck] somewhere in the guide wire lumen so the guide wire was inadvertently removed as well so a new way had to be found to the dissection.A non-abbott stent was used to complete the procedure.There were no reported adverse patient effects.Although there was a delay in the procedure, there was no effect to the patient due to the extra time.Subsequent to the initially filed report the following information was provided: return device analysis noted that the stent of the absolute pro sess was partially deployed.Follow-up with the account stated that the physician thinks this occurred outside the anatomy during the attempts to remove the stuck guide wire; however, this was not confirmed.No additional information was provided.
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Search Alerts/Recalls
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