SPECTRANETICS ANGIOSCULPT PTCA SCORING BALLOON CATHETER (RX); CATHETER, PTCA, CUTTING/SCORING
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Model Number 2200-3010 |
Device Problem
Detachment of Device or Device Component (2907)
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Patient Problem
Death (1802)
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Event Date 10/11/2018 |
Event Type
Death
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Manufacturer Narrative
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During withdrawal, the distal shaft separated inside the patient.Additional intervention was performed to remove from the patient.No piece of the angiosculpt device was retained in the patient.Patient information regarding relevant tests or laboratory data are unknown.The information was not available from the facility.The cause of death is unknown.Although images showed no patient injury after the angiosculpt was removed from the patient, ''death'' was selected as a conservative measure.The angiosculpt device was returned without the distal portion (distal tip, distal bond, balloon, scoring element, intermediate bond, transition tubing, and proximal bond) and the entire inner member.The distal portion separated at the distal shaft approximately 15 cm distal from the rx port.The distal end where the device broke showed evidence of stretching.The inner member that separated along with the distal portion, separated just distal to the rx bond.The proximal shaft (hypotube) was bent and damaged with multiple kinks along the shaft and the strain relief was kinked.The angiosculpt device was used off-label.The ifu warns to not exceed the rated burst pressure as indicated on the product label.Based on the lab analysis, it is likely that excessive force was applied by the user that led to the device separation inside the patient.Per the ifu, retained device component is listed as possible adverse effect of the procedure.
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Event Description
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The angiosculpt device was used in a patient with in-stent restenosis (3 stents).Prior to the use of the angiosculpt device, a elca laser was used in a patient to soften the lesion to change morphology.Images post laser showed no dissection or perforation.Then, an angiosculpt device was inflated multiple times up to 30 atm, beyond the rbp of 18 atm.During removal, resistance was noted, thus force was applied and resulted in the distal portion of the device separating inside the patient.The separated portion was snared and removed successfully.No piece of the angiosculpt device was retained in the patient.Images post angiosculpt showed no dissection or perforation.Then, a regular balloon was inserted to optimize the luminal gain and a perforation was observed.Two graftmaster stents were placed to treat the perforation.Five days post procedure, information provided was that the patient expired.Date of death and cause of death are unknown.
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Manufacturer Narrative
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Information was provided by the facility on 01/25/2019.
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Event Description
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The patient died of cardiac arrest.
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Search Alerts/Recalls
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