Catalog Number CDS0702-XTW |
Device Problem
Unintended Movement (3026)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/05/2024 |
Event Type
malfunction
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Event Description
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It was reported that a mitraclip procedure was performed to treat functional mitral regurgitation (mr) with a grade of 4 and rotated heart.A mitraclip xtw was implanted without issues.Another mitraclip xtw was inserted and placed on the valve.However, while establishing final arm angle (efaa), it was observed that the clip opened from 20 degrees to approximately 25-30 degrees.Therefore, the clip delivery system (cds) was removed.The procedure was completed with one clip implanted, reducing the mr to a grade of 1-2.There were no adverse patient effects and no clinically significant delay in the procedure.
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Manufacturer Narrative
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The device is expected to be returned for evaluation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
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Manufacturer Narrative
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All available information was investigated and the reported clip open during efaa was not confirmed via returned device analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history identified no similar complaints reported from this lot.The investigation was unable to determine a cause for the reported clip open during efaa.There is no indication of a product issue with respect to manufacture, design, or labeling.
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Search Alerts/Recalls
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