ST. JUDE MEDICAL FAST-CATH¿ TRANSSEPTAL GUIDING INTRODUCER SWARTZ¿ SL TRANSSEPTAL SERIES, SL1¿ 8.; INTRODUCER, CATHETER
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Model Number 406849 |
Device Problems
Fluid/Blood Leak (1250); Material Puncture/Hole (1504)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 08/02/2021 |
Event Type
malfunction
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Event Description
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During an atrial fibrillation ablation procedure, when attempting to conduct the transseptal puncture, the transseptal needle punctured the sheath.The introducer was replaced and the procedure was completed with no adverse consequences to the patient.
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Manufacturer Narrative
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One 8.5f fast-cath introducer sheath was received for evaluation.The dilator was also received.Functional testing confirmed an air leak in the hemostasis valve.The cap was removed from the hemostasis hub and the hemostasis seals were microscopically inspected.Tearing, resulting in a hole, was noted in the distal face of the seal, at both ends of the seal slit.The device history record was reviewed to ensure that each manufacturing and inspection operation was performed.The cause of the torn seal and subsequent leak remains unknown.
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Event Description
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During an atrial fibrillation ablation procedure, when attempting to conduct the transseptal puncture, the transseptal needle punctured the hemostasis valve of the sheath.The introducer was replaced and the procedure was completed with no adverse consequences to the patient.This report is to also advise of an event observed during analysis confirming a hemostasis valve leak of the introducer.
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