This is filed to report the soft tip damage.It was reported this was a mitraclip procedure performed to treat grade 4 functional mitral regurgitation (mr).The steerable guide catheter (sgc) would not advance smoothly into the vein.It was noted the radiopaque ring and distal shaft and soft tip began to fold, compressing like an accordion.The sgc was removed and a replacement sgc was used without issue.An xtw clip was successfully implanted, mr was reduced to 1.There were no adverse patient effects and no clinically significant delay.No additional information was provided.
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The returned device analysis confirmed the radiopaque ring, distal shaft and soft tip folding and the kink on the steerable guide catheter (sgc) shaft.However, the reported failure to advance could not be replicated in a testing environment as it is related to patient anatomy/procedural operational circumstances.A review of the lot history record identified no manufacturing nonconformities issued to the reported lots and a review of the complaint history identified no similar incident reported from this lot.Based on available information, a cause for the reported failure to advance could not be determined.Additionally, the reported kink and irregular appearance were cascading events of reported failure to advance.There is no indication of a product issue with respect to manufacture, design or labeling.Na.
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