MAUDE Adverse Event Report: CORDIS CORPORATION SABER RX4MM20CM155; CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL

Model Number 51004020L

Device Problem Burst Container or Vessel (1074)

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

Event Date 04/22/2022

Event Type  malfunction  

Event Description

As reported, the balloon of a saber rx 4mm 20cm 155 ruptured at 4 atm during post dilation.There was no reported injury to the patient.The saber pta was stored in-hospital sanitary area storage.No abnormalities were found on the exterior and interior tray of the device.The lesion was the right superficial femoral artery.An approach was made from the left femoral.A guidewire crossed the lesion and the lesion was checked by ultrasound ivus.A saber 4x60 was fully inflated due to lesion in tandem.The lesion was noted not t have severe calcification.The device will not be returned for evaluation as it was discarded.Additional information was requested; however, the information could not be obtained.

Manufacturer Narrative

Additional information is pending and will be submitted within 30 days upon receipt.

Event Description

As reported, the balloon of a saber rx 4mm 20cm 155 ruptured at 4 atm during post dilation.There was no reported injury to the patient.The saber pta was stored in-hospital sanitary area storage.No abnormalities were found on the exterior and interior tray of the device.The lesion was the right superficial femoral artery.An approach was made from the left femoral.A guidewire crossed the lesion and the lesion was checked by ultrasound ivus.A saber 4x60 was fully inflated due to lesion in tandem.The lesion was noted not t have severe calcification.The device will not be returned for evaluation as it was discarded.Additional information was requested; however, the information could not be obtained.

Manufacturer Narrative

After further review of additional information received the following sections have been updated accordingly: b5, d4, g3, h1, h2, h3 and h6 as reported, the balloon of a saber rx 4mm 20cm 155 ruptured at four atm during post dilation.There was no reported injury to the patient.The saber pta was stored in-hospital sanitary area storage.No abnormalities were found on the exterior and interior tray of the device.The lesion was the right superficial femoral artery.An approach was made from the left femoral.A guidewire crossed the lesion, and the lesion was checked by ultrasound ivus.A saber 4x60 was fully inflated due to lesion in tandem.The lesion was noted not to have severe calcification.The device will not be returned for evaluation as it was discarded.Additional information was requested; however, the information could not be obtained.The product was not returned for analysis as it was discarded due to hospital regulation.A product history record (phr) review of lot 82186283 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The reported ¿balloon burst-at/below rbp¿ could not be confirmed as the device was not returned for analysis.The exact cause could not be determined.Vessel characteristics, although unknown and procedural factors likely contributed to the reported event.However, with the limited amount of information available regarding lesion characteristics and 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 warnings in the safety information in the instructions for use ¿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.To reduce the potential for vessel damage or the risk of dislodgement of particles it is very important that the inflated diameter of the balloon should approximate the diameter of the vessel just proximal and distal to the lesion.The balloon dimensions are printed on the product label.The compliance table incorporated with the product shows how balloon diameter increases as pressure increases.Do not exceed the rated burst pressure recommended on the label.The rated burst pressure is based on the results of in vitro testing.(b)(4).Use of a pressure monitoring device is recommended to prevent over-pressurization.Pressure in excess of the rated burst pressure can cause balloon rupture and potential inability to withdraw the catheter through the introducer sheath.Balloon rupture can cause vessel damage and the need for additional intervention.Use only the recommended balloon inflation medium (a 50/50 mixture by volume of contrast medium and normal saline).Never use air or any gaseous medium to inflate the balloon.¿ neither the phr nor the information available suggests a design or manufacturing related cause for the reported event.Therefore, no corrective or preventive action will be taken at this time.

• Brand Name: SABER RX4MM20CM155
• 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: 14465133
• MDR Text Key: 292607988
• Report Number: 9616099-2022-05651
• Device Sequence Number: 1
• Product Code: LIT
• UDI-Device Identifier: 20705032075920
• UDI-Public: (01)20705032075920(17)230131(10)82186283
• Combination Product (y/n): N
• Reporter Country Code: JA
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Foreign,Health Professional,Company Representative
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date: 06/09/2022

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 01/31/2023
• Device Model Number: 51004020L
• Device Catalogue Number: 51004020L
• Device Lot Number: 82186283
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: 04/25/2022
• Initial Date FDA Received: 05/21/2022
• Supplement Dates Manufacturer Received: 05/26/2022
• Supplement Dates FDA Received: 06/09/2022
• Date Device Manufactured: 02/14/2020
• 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: SABERX (4X60); UNK GUIDEWIRE