Device is a combination product.Device evaluated by mfr.: promus element, mr, ous 3.00x32mm stent delivery system was returned for analysis.A visual examination of the stent found signs of stent damage.Stent struts from the proximal end of the stent were pulled and bunched distally from its crimped position.The undamaged stent outer diameter was measured and the result was within maximum crimped stent profile measurement.The balloon cones were reviewed, and no issues were noted.The balloon wings were tightly wrapped and evenly folded and were not subjected to positive pressure.A visual and microscopic examination of the bumper tip showed no signs of damage.A visual and tactile examination of the hypotube found multiple kinks along the length of the hypotube shaft.A visual and tactile examination of the outer and inner lumen and mid-shaft section found no issues along the shaft polymer extrusion.No other issues were identified during the product analysis.
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Reportable based on device analysis completed on 20-apr-2020.It was reported that crossing difficulties were encountered.Vascular access was obtained via femoral artery.The 90% stenosed, 30mmx3mm, eccentric, de novo target lesion with a bend of >=90 degrees was located in the severely tortuous and mildly calcified left anterior descending artery.After a 6f non-bsc guide catheter and a non-bsc guide wire crossed the lesion, pre-dilation was performed with an unknown balloon catheter resulting to 50% residual stenosis.A 3.00x32mm promus element drug-eluting stent was advanced but failed to cross the lesion.The device was removed and the procedure was completed with a different device.No patient complications were reported and the patient's status was stable.However, returned device analysis revealed stent damage.
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