MAUDE Adverse Event Report: CORDIS CORPORATION SABER RX6MM25CM155; CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL

Model Number 51006025L

Device Problem Detachment of Device or Device Component (2907)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 12/20/2021

Event Type  malfunction  

Manufacturer Narrative

Complaint conclusion: as reported, the saber rx 6mm25cm155 percutaneous transluminal angioplasty (pta) balloon catheter was used as a pre-balloon.Two non-cordis stents (6 120) (7 120) were implanted, and the saber was reinserted to use as a post-balloon.It was confirmed that the tip was separated when the wire was mounted.It stopped being used for the procedure.There was no reported patient injury.This was an endovascular therapy (evt) case.The device was not returned for evaluation as it was discarded.A product history record (phr) review of lot 82202353 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The complaint reported by the customer as ¿distal tip separated¿ was not confirmed as the device was not returned for analysis.The exact cause cannot be determined.Handling of the device and procedural factors likely contributed to the reported event.However, without the return of the device for analysis it is difficult to draw a clinical conclusion between the device and the event reported.According to the safety information in the instructions for use ¿prepare an angioplasty inflation system with a 50% solution of contrast medium in sterile saline or similar solution.Without twisting, slide the forming tube off the balloon.Prepare an angioplasty inflation system with a 50% solution of contrast medium in sterile saline or similar solution.Place the prepared catheter over a prepositioned guidewire and advance the tip to the introduction site.Note: balloon inflation should be performed with the guidewire extended beyond the catheter tip.It is strongly recommended that the guidewire, the balloon catheter, or both, remain across the lesion until the procedure is complete and the dilatation system is to be removed from the vessel.Note: to preserve the folded balloon shape during insertion and catheter manipulation, maintain a vacuum on the inflation lumen.Prior to angioplasty, the catheter should be examined to verify functionality and integrity, and ensure that its size and shape are suitable for the specific procedure for which it is to be used.Do not use if product damage is suspected or evident.Proper functioning of the catheter depends on its integrity.Care should be used when handling the catheter.Damage may result from kinking, stretching, or forceful wiping of the catheter.Forceful handling can result in catheter separation and the subsequent need to use a snare or other medical interventional techniques to retrieve the pieces.Always verify integrity of the catheter after removal.¿ neither the phr review nor the product analysis suggests that the found damages could be related to the manufacturing process of the unit.Therefore, no corrective or preventive actions will be taken at this time.

Event Description

As reported, the saber rx 6mm25cm155 percutaneous transluminal angioplasty (pta) balloon catheter was used as a pre-balloon.Two non-cordis stents (6 120) (7 120) were implanted, and the saber was reinserted to use as a post-balloon.It was confirmed that the tip was separated when the wire was mounted.It stopped being used for the procedure.There was no reported patient injury.This was an endovascular therapy (evt) case.The device is not expected to be returned for evaluation as it was discarded.

• Brand Name: SABER RX6MM25CM155
• Type of Device: CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL
• Manufacturer (Section D): CORDIS CORPORATION; 14201 nw 60 avenue; miami lakes FL 33014
• Manufacturer (Section G): CORDIS CORPORATION; 14201 nw 60 avenue; miami lakes FL 33014
• Manufacturer Contact: karla castro ; 14201 nw 60 avenue; miami lakes, FL 33014 ; 7863138372
• MDR Report Key: 13239752
• MDR Text Key: 286645522
• Report Number: 9616099-2022-05293
• Device Sequence Number: 1
• Product Code: LIT
• UDI-Device Identifier: 20705032075319
• UDI-Public: (01)20705032075319(17)230831(10)82202353
• Combination Product (y/n): N
• Reporter Country Code: JA
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional,Company Representative
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 01/12/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 01/12/2022
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 08/31/2023
• Device Model Number: 51006025L
• Device Catalogue Number: 51006025L
• Device Lot Number: 82202353
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 12/21/2021
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 09/11/2020
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Treatment: -6*120 ELVIA; -7*120 ELVIA