Product event summary: the device and data files were returned and analyzed.Data files showed 5 applications with the catheter on the date of the case and a system noticed had occurred on application 2 indicating that the safety system detected a compromised outer vacuum (#(b)(4)).Also, 9 applications were performed with another catheter without any issues on the date of the event.Visual inspection of the catheter showed that the device was intact with no apparent issues.A dissection showed a guide wire lumen kink 1.017 inch from the tip of the catheter.Pressure testing did not show any leaks.The catheter passed the performance test.In conclusion, the reported bent catheter shaft issue was confirmed through testing.The catheter failed the return inspection due to a guide wire lumen kink.If information is provided in the future, a supplemental report will be issued.
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It was reported that during a cryo ablation procedure, the shaft part of the balloon catheter was bent and was unable to properly occlude the vein.The catheter was replaced with resolve, and the case was completed with cryo.The catheter was returned to the manufacturer, analyzed, and tested out of specification.No patient complications have been reported as a result of this event.
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