As reported, after catheter flushing and review, the staff recorded that a 5f 110cm 6 side holes (6sh) infiniti diagnostic pigtail catheter did not contain the side holes as usual.The catheter was not introduced in the patient and was marked as a claim/adverse event.The intended procedure was reported to be a percutaneous coronary intervention (pci) catheterization.Another unknown diagnostic catheter was used to complete the procedure.There was no reported patient injury.The medical staff took the procedure as per the instruction for use (ifu).On the preparing table the device was flushed with cold saline during handling in accordance with the ifu and the device did not contain side holes.The product was stored according to the ifu.The packaging of the medical device was without any defect and the sterile packaging was without any damage.Before introducing it to the patient, visual control of the infiniti catheter was performed.The complaint device is expected to be returned for evaluation.The event was reported by the hospital to the local competent authority (ca) as an adverse event.Device pictures were received for review.
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As reported, after catheter flushing and review, the staff recorded that a 5f 110cm 6 side holes (6sh) infiniti diagnostic pigtail catheter did not contain the side holes as usual.The catheter was not introduced in the patient and was marked as a claim/adverse event.The intended procedure was reported to be a percutaneous coronary intervention (pci) catheterization.Another unknown diagnostic catheter was used to complete the procedure.There was no reported patient injury.The medical staff took the procedure as per the instruction for use (ifu).On the preparing table the device was flushed with cold saline during handling in accordance with the ifu and the device did not contain side holes.The product was stored according to the ifu.The packaging of the medical device was without any defect and the sterile packaging was without any damage.Before introducing it to the patient, visual control of the infiniti catheter was performed.One non-sterile unit of cath f5 inf pig 110cm 6sh was received for analysis.Per visual inspection, the side holes on the catheter were missing.A product history record (phr) review of lot 18155305 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The complaint reported by the customer as ¿catheter (body/shaft)- no side holes-pigtail catheter¿ was confirmed.The pigtail catheter does not contain side holes.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent to make the user aware of the risks.According to the instructions for use (ifu), although not intended as a mitigation of risk, ¿¿¿manipulation of the catheter under excessive friction due to interaction with other devices or while trapped in the vasculature, can lead to stretching or elongation of the catheter.Stretching or elongation of the catheter during endovascular procedures could result in the marker bands moving along the catheter.In extreme cases, marker bands may come off the catheter and dislodge into the vascular system.Do not use if the package is open or damaged.¿ per analysis of the returned device, the missing side holes was found to be manufacturing related and a risk assessment was initiated to address this issue.
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