Model Number B2120-060 |
Device Problems
Entrapment of Device (1212); Material Rupture (1546); Material Separation (1562)
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Patient Problem
Insufficient Information (4580)
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Event Date 03/02/2021 |
Event Type
Injury
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Manufacturer Narrative
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The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.The additional armada 35 device referenced is filed under a separate medwatch report number.
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Event Description
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It was reported that the procedure was to treat a common iliac artery.A 12x40mm armada 35 balloon was advanced to the lesion without resistance.Once at the lesion, the balloon was inflated once at 3-4 atmospheres (atm) and ruptured circumferentially.The device was withdrawn without issue.Then a 12x60mm armada 35 balloon was advanced to the lesion without resistance.Once at the lesion, the balloon was inflated once at 3-4 atmospheres (atm) and ruptured circumferentially.The device was attempted to be removed but met resistance with the anatomy and could not be removed completely.Therefore surgical intervention was performed to successfully remove the device.A non-abbott balloon was used to successfully complete the procedure.There was a clinically significant delay reported.No additional information was provided.
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Event Description
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It was reported that the procedure was to treat a common iliac artery.A 12x40mm armada 35 balloon was advanced to the lesion without resistance.Once at the lesion, the balloon was inflated once at 3-4 atmospheres (atm) and ruptured circumferentially.The device was withdrawn without issue.Then a 12x60mm armada 35 balloon was advanced to the lesion without resistance.Once at the lesion, the balloon was inflated once at 3-4 atmospheres (atm) and ruptured circumferentially.The device was attempted to be removed but met resistance with the anatomy and could not be removed completely.Therefore surgical intervention was performed to successfully remove the device.A non-abbott balloon was used to successfully complete the procedure.There was a clinically significant delay reported.Subsequent to the initially filed mdr, additional information received from the account confirms that during removal the 12x60mm armada 35 balloon became separated [the balloon was separated at the same location as the ruptures noted] due to the resistance.Surgical intervention removed the remaining of the device and nothing was left in the anatomy.No additional information was provided.
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Manufacturer Narrative
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A visual analysis and scanning electron microscopy (sem) analysis were performed on the returned device.The reported balloon rupture and separation was confirmed.The difficulty removing (entrapment) was not tested due to the condition of the device.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history identified no other complaints reported from this lot.Based on the reported information, evaluation of the returned unit and sem analysis the investigation determined that the reported difficulties and subsequent patient effects were likely due to circumstances of the procedure.It is likely that the balloon rupture was the result of interaction with the heavily calcified lesion.In addition, the resistance (entrapment) noted during removal and separation of the balloon were likely the result of the ruptured balloon material catching on the introducer sheath or anatomy during the attempt to remove.The additional damages noted to the returned unit likely occurred during the difficulties encountered while removing the ruptured/separated device from the anatomy.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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Search Alerts/Recalls
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