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Model Number 2077-01 |
Device Problems
Contamination (1120); Difficult to Advance (2920)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 03/15/2023 |
Event Type
malfunction
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Event Description
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It was reported that contamination of the device occurred.The 90% stenosed target lesion was located in the mildly tortuous and severely calcified artery.A 1.50mm rotapro and rotawire drive were selected for use.During preparation, the burr would not advance over the wire.Restriction was encountered on the wire, outside the guide catheter.The devices were exchanged for a new rotaburr and rotawire and the same issue occurred.Sterile blue fibers from sterile towels were noted to be wrapped around the wires.The procedure was completed successfully with a non-boston scientific device.No patient complications were reported.
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Event Description
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It was reported that contamination of the device occurred.The 90% stenosed target lesion was located in the mildly tortuous and severely calcified artery.A 1.50mm rotapro and rotawire drive were selected for use.During preparation, the burr would not advance over the wire.Restriction was encountered on the wire, outside the guide catheter.The devices were exchanged for a new rotaburr and rotawire and the same issue occurred.Sterile blue fibers from sterile towels were noted to be wrapped around the wires.The procedure was completed successfully with a non-boston scientific device.No patient complications were reported.
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Manufacturer Narrative
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Device evaluated by mfr: returned product consisted of the rotawire drive.The rotapro used in the procedure was returned with the returned rotawire within the returned rotapro device.The proximal end, middle section, distal end, and spring tip were visually and microscopically examined.Inspection of the device did not identify any damages or defects.Functional testing was performed using the returned rotapro device.During testing, the returned rotawire was unable to be inserted through the returned rotapro device due to a kinked and stretched coil within the rotapro device.Product analysis confirmed the reported stuck rotawire.The reported foreign material on the rotawire was not able to be confirmed as no foreign material was present on the device.No other issues were identified during the product analysis.
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Search Alerts/Recalls
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