Evaluation summary: the turbohawk was inspected and observed the distal assembly showed the laser drilled coils bent/compressed at approximately 1.5 and 6cm from the cutter window.The cutter assembly was visible within the cutter window.The torque shaft was bent at an approximate 45 degree angle beneath the strain relief.The cutter driver was powered on and the thumb-switch was retracted.The cutter assembly retracted back into the cutter window as intended.The thumb-switch was pushed forward, however resistance was encountered.The cutter head was able to advance approximately 0.3cm from the cutter window.It was observed the outer diameter of the laser drilled tip was bent inward.The edge of the cutter head was contacting the inner diameter of the distal assembly at the location of the observed bend.The cutter was unable to advance within the distal assembly due to a blocked cutter lumen from a bend inwards of the laser drilled tip.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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The physician was using a turbohawk directional atherectomy device to treat a moderately tortuous and moderately calcified mid left sfa lesion exhibiting 75% stenosis and plaque.The device was removed from the packaging and inspected with no issues noted.The device was prepped per the ifu.It was reported that the physician successfully inserted the device into the patient, made six passes, then removed and cleaned the device before re-advancing the device through the sheath and making several more passes through the lesion.The physician reported that they were unable to turn the device on and off without the thumbswitch sticking while at times, being used in the patient.It was reported that the device was sticking while the cutter was both inside and outside the housing.No patient injury was reported.
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