This is filed to report kinked soft tip.It was reported that this is a mitraclip procedure to treat mixed mitral regurgitation (mr) with a grade of 3+.It was noted thick pathology.The steerable guide catheter (sgc) could not be inserted into the groin.The quality of the imaging was changed to contrast medium.Although there was no issues observed with the vessel, the sgc soft tip became kinked.A decision was made not use the sgc and the procedure was successfully completed with a new sgc.One clip was implanted, reducing mr to <1.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
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All available information was investigated, and the returned steerable guide catheter (sgc) did not confirm the reported soft tip kink as no issues were noted.The reported difficult to insert could not be replicated in the testing environment and it was likely an outcome of user technique/procedural circumstance.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot that would have resulted in this event.Additionally, a review of the complaint history identified no similar complaints reported from this lot.All available information was investigated, and a conclusive cause for the reported soft tip kink could not be determined in this complaint.The reported difficult to insert was an outcome of challenging patient anatomical condition.The observed sgc shaft kink was a cascading effect of the reported difficulty inserting the sgc.Based on the information reviewed, there is no indication of a product issue with respect to manufacture, design or labeling.
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