Model Number 1550225-15 |
Device Problems
Difficult to Remove (1528); Failure to Advance (2524); Device Dislodged or Dislocated (2923)
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Patient Problem
Vessel Or Plaque, Device Embedded In (1204)
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Event Date 08/27/2020 |
Event Type
Injury
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Manufacturer Narrative
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The device was not returned to abbott vascular for analysis.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot and relabeled lot that would have contributed to this event.Based on review of the similar incidents, there is no indication of a lot specific issue.The investigation determined the reported failure to advance, difficulty to remove and stent dislodgement appear to be related to operational circumstances of the procedure.Based on the reported information, it is likely that the anatomical condition caused resistance during advancement which then caused the stent delivery system to become caught in the previously implanted stent.Manipulation against resistance likely resulted in the reported stent dislodgment.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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Event Description
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It was reported that the procedure was to treat a concentric, heavily calcified, heavily tortuous, 90% stenosed, de novo proximal left circumflex (plcx).After lesion pre-dilatation, a 2.25x15mm xience sierra drug eluting stent (des) was advanced but due to the anatomy, became stuck with a the previously implanted stent in the circumflex and dislodged.A snare was attempted to grab it and pull it out but failed.A non-abbott device was used to push the dislodged sierra stent against the previously implanted stent and another sierra stent was advanced and implanted to embed the dislodged stent into the previously implanted stent.Post- dilatation was performed.There was no adverse patient sequela and no reported clinically significant delay in the procedure or therapy.The lesion was again pre-dilated and a non-abbott stent was implanted to complete the procedure.No additional information was provided.
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Search Alerts/Recalls
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