BOSTON SCIENTIFIC - MAPLE GROVE EMERGE¿ PUSH; CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS
|
Back to Search Results |
|
Model Number H7493919415120 |
Device Problems
Kinked (1339); Failure to Advance (2524)
|
Patient Problem
No Consequences Or Impact To Patient (2199)
|
Event Date 09/25/2017 |
Event Type
malfunction
|
Manufacturer Narrative
|
(b)(4). returned product consisted of an emerge balloon catheter in two pieces.The balloon is loosely folded.The outer shaft, inner shaft, balloon and tip were microscopically examined.The hypotube shaft was completely separated 20.7cm from the hub.The fracture faces were oval as if kinked prior to separation.There is shaft damage at the exit notch that is consistent with damage seen with the use of a guide wire.The tip is damaged.There was no evidence of any material or manufacturing deficiencies contributing to the damage.There were numerous hypotube and shaft kinks.The investigation conclusion is operational context as the product meets the design & manufacture specification but due to anatomical/procedural factors encountered during the procedure, performance was limited.(b)(4).
|
|
Event Description
|
Reportable based on device analysis completed on 03-nov-2017.It was reported that crossing difficulties were encountered and shaft kink occurred.Coronary angiography was performed which revealed a 95% stenosed target lesion located in the moderately tortuous and severely calcified mid to distal left anterior descending artery.After a non-bsc guide wire crossed the lesion, a 1.20mm x 15mm emerge¿ push balloon catheter was advanced for dilation.However, the device failed to cross the lesion and the shaft was kinked.The device was removed from the patient and dilatation was performed with a 1.0 x 15mm and 2.5 x 15mm non-bsc balloon catheters.Subsequently, a 2.5 x 38mm non-bsc stent was deployed and the procedure was completed.No patient complications were reported and the patient's status was stable.However, returned device analysis revealed a hypotube break.
|
|
Search Alerts/Recalls
|
|
|