It was reported that a versacross connect access solution was selected for use during a left atrium appendage closure.The mechanical guidewire (mgw) was inserted into the sheath and then became stuck in the dilator, once the guidewire was tracked up into the patient anatomy (ivc - inferior vena cava - was relatively straightforward).The damage was observed when attempting to exchange the mechanical guidewire out for the versacross rf wire.It was needed to remove the versacross dilator with mechanical guidewire from the patients body, and the mechanical guidewire was forcefully removed out of it, but damaged the versacross dilator in the process.Thus, a new kit was opened, to be used along with a non-boston scientific (amplatz) wire.It seems the inner mandril of the mgw is damaged and the outer winding is holding the wire together.The distal end of mechanical guidewire was protruding from the dilator when tracking up the ivc, when it was stuck.The guidewire was fully retrieved/recovered from patient anatomy and remains in one piece.The coil or either end of the coil (if coil fractured) able to be stretched freely.No other issues were noted.No patient complications were reported.The procedure was completed successfully.The device is expected to be returned for analysis.
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