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Visual analysis was performed on the returned device.The reported balloon rupture and separation were confirmed.The reported difficulty removing the device could not be replicated in a testing environment due to the condition of the returned device.The production record and corrective and preventive actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a query of the complaint handling database for the reported lot revealed no other similar complaints from this lot.The investigation determined the reported balloon rupture, difficulty removing the device, balloon separation, delay to treatment/therapy, surgical intervention and hospitalization appear to be related to operational context.Balloon material ruptures can be affected by numerous factors including, but not limited to, balloon damage during processing of the balloon material, materials, inflation technique, and interactions with other devices or lesion calcification.In this case, it is likely that the balloon interacted with the moderately to heavily calcified anatomy such that the balloon became damaged and ruptured during inflation.Additionally, during removal there was resistance with the introducer sheath as the ruptured balloon material likely interacted with the sheath causing the balloon material to separate.Surgery was performed to remove the separated portion of the device resulting in a delay in the treatment and hospitalization.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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It was reported that the recanalization procedure was to treat a lesion in the superficial femoral artery (sfa) with stenosis and calcification.The 5.0x100mm armada 35 balloon dilatation catheter (bdc) was advanced without resistance and inflated once at 8 atmospheres (atms).The balloon was deflated; however, got stuck in the 6french (f) introducer and could not be removed.No force was applied.The balloon separated and a portion remained in the anatomy.A right femoropopliteal bypass under anesthesia was performed to remove the separated portion of the balloon which caused a delay.Nothing remains in the anatomy.There was no adverse patient sequelae.There was additional hospitalization for the patient.Subsequent to the initially filed report, the following information was provided: calcification was moderate to heavy.No additional information was provided.
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