It was reported that during a cryo ablation procedure, the dilator was having difficulty being inserted into the sheath.While attempting to be inserted, air was being "sucked in" to the sheath.The sheath was replaced which resolved the issue.The case was completed with cryo.No patient complications have been reported as a result of this event.
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Product event summary: the sheath 4fc12 with lot number 0010860892 was returned and analyzed.Visual inspection of the dilator was performed.No anomalies were identified.The shaft, tip, and the length are according to specifications.The performance test with sentinel blackbelt leak tester was performed.All performance tests were in the acceptable range.Several flushes and aspirations were performed without issues while the balloon catheter was inserted.The flush and air aspiration/ ingress issue was not reproduced.There was no blockage along the shaft.The shaft, valve, and side port were all leak-tight.In conclusion, the reported air ingress could not be confirmed.The sheath passed the returned product inspection.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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