Model Number BC0410C |
Device Problem
Deflation Problem (1149)
|
Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 04/14/2022 |
Event Type
malfunction
|
Event Description
|
During the procedure, a scepter balloon was used to angioplasty a pipleline shield that would not open.After inflating the balloon, it would not deflate.The balloon was removed from the patient partially inflated.There was no patient injury or intervention reported.Patient condition is unknown.Additional information was received stating the balloon was observed to be normal during preparation.The inflation pressure of the balloon is unknown.The balloon was partially deflated by aspiration with 1cc syringe.The device was removed by aspiration and retrieval through the wahoo guide catheter.There was blood inside the balloon lumen once it was retrieved.
|
|
Manufacturer Narrative
|
A search for non-conformance associated with this part/lot number combination did not reveal any production-related issues relevant to the complaint that occurred during manufacturing of the device.The device was stated to be available for evaluation but has not yet been returned.If the device is received the investigation will be performed and a supplemental report will be submitted.
|
|
Manufacturer Narrative
|
G4 correction: not a combination product.
|
|
Manufacturer Narrative
|
Correction for investigation results copied twice.The inspection of the returned device found the shaft to be severely crushed, affecting the inflating and deflating lumen of the device.The physical evaluation of the device could not identify the conditions or circumstances that led to the damage, but the damage is consistent with the device experiencing forces over specification.A review of the manufacturing records found that this lot met all release criteria from the manufacturing procedure.
|
|
Manufacturer Narrative
|
The inspection of the returned device found the shaft to be severely crushed, affecting the inflating and deflating lumen of the device.The physical evaluation of the device could not identify the conditions or circumstances that led to the damage, but the damage is consistent with the device experiencing forces over specification.A review of the manufacturing records found that this lot met all release criteria from the manufacturing procedure.The inspection of the returned device found the shaft to be severely crushed, affecting the inflating and deflating lumen of the device.The physical evaluation of the device could not identify the conditions or circumstances that led to the damage, but the damage is consistent with the device experiencing forces over specification.A review of the manufacturing records found that this lot met all release criteria from the manufacturing procedure.
|
|
Event Description
|
Additional information provided confirmed the patient is doing well.The patient didn't receive any kind of treatment and didn't have any negative impact.
|
|
Search Alerts/Recalls
|