Model Number NCEUP3015X |
Device Problems
Burst Container or Vessel (1074); Deflation Problem (1149); Detachment of Device or Device Component (2907)
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Patient Problems
Injury (2348); Vascular Dissection (3160)
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Event Date 05/01/2020 |
Event Type
Injury
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Manufacturer Narrative
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If information is provided in the future, a supplemental report will be issued.
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Event Description
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During a procedure an attempt was made to use one nc euphora rx ptca balloon catheter to treat a lesion located in the proximal left anterior descending (lad) artery.The device was inspected with no issues noted.The device was pre-dilated.The device did not pass through a previously deployed stent.It was reported that the balloon burst at 18 atms.It was also reported that balloon deflation difficulties occurred at the lesion site.The device was removed from the patient using a snare.The patient was reported to be alive with no injury.
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Manufacturer Narrative
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An image provided is of the distal section of a poba device with a detachment of the balloon and the inner member.The balloon appears to have detached at proximal balloon bond, this indicates the balloon ruptured at this location.Blood is visible in the balloon.If information is provided in the future, a supplemental report will be issued.
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Manufacturer Narrative
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Additional information: mildly tortuous lesion exhibiting 70% stenosis located in the distal left anterior descending (lad) artery.Negative prep was performed with no issues noted.The lesion was pre-dilated with another balloon, and then stented using a resolute onyx (2.5mm) coronary drug eluting stent.Post dilation was carried out using the nceup3015x device.Resistance was noted when advancing the nceup3015x and excessive force was not used.The nceup3015x was not moved or repositioned in the lesion while inflated.Deflation difficulties were noted on the second inflation.There were no difficulties on previous inflations.The balloon deflated slowly and blood returned when aspirating from the inflation lumen.It was stated that the mid lad had a dissection proximal to the implanted onyx stent as a result of the nceup3015x balloon rupture.This dissection required implantation of another stent.The nceup3015x sheared off in the right radial artery and was removed using a gooseneck snare.The concentration of contrast/saline solution used was approximately 3:1.If information is provided in the future, a supplemental report will be issued.
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Search Alerts/Recalls
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