Block h6 (impact codes): imdrf impact code f1001 is being used to capture the reportable event of aborted/cancelled procedure.Block h10: the returned spyscope ds ii was analyzed, and a visual evaluation noted signs of use in the form of elevator marks on the shaft of the catheter.An image assessment was performed, and a live image was seen upon insertion of the device umbilicus into the controller.Articulation of the catheter working length was conducted using the steering wheel at the handle and had no effect on image.The working length of the catheter was fed through a passability fixture.An ehl probe was used to test for passability.The ehl probe was fed through the working channel port at the handle and was able to come out of the distal end.The handle was opened, and the inside was visually inspected, no problems were noted with the inside of the device handle.The reported event was not confirmed.During product analysis, visual inspection of the device exterior did not identify any damage or defect that could have contributed to difficulty to advance accessories.An ehl probe was fed through the working port of the device while the working length was inside a passability fixture.The ehl probe was seen leaving the distal end of the catheter and was able to be fed through the catheter with no problems.Signs of use were noted with the returned device in the form of elevator marks.It is likely that factors of the procedure such as use of a combination device and tortuous anatomy may have attributed to the observed difficulty in advancing accessories.Based on all gathered information, the probable cause selected for the reported difficulty in advancing accessories issue is adverse event related to procedure, which indicates that the adverse event occurred during the procedure and the device had no influence on event.
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