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SPECTRANETICS CORPORATION TURBO-ELITE LASER ATHERECTOMY CATHETER; CATHETER, PERIPHERAL, ATHERECTOMY
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| Model Number |
410-152 |
| Medical Device Problem Code |
Material Separation (1562)
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| Health Effect - Clinical Code |
Unintended Radiation Exposure (4565)
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| Date of Event |
01/20/2025
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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A peripheral atherectomy procedure commenced, and a spectranetics turbo-elite laser atherectomy catheter was used to treat the patient.While attempting to push the turbo-elite into the non-philips 6f introducer sheath, resistance was encountered.The outer jacket appeared to have a tear, and red light could be seen on the side of the jacket.The turbo-elite was removed and a new device was used to complete the procedure.No patient injury reported.This event is being reported for unintended radiation exposure, potential for harm.
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Additional Manufacturer Narrative
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H3/h6): the turbo-elite device was not returned; thus, no returned product investigation was performed and a cause for the reported failure could not be confirmed.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.
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Additional Manufacturer Narrative
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D4): device serial number populated.D9): the turbo-elite device was returned to the manufacturer 19feb2025.H3): visual inspection found a breach in the jacket along the working length.In the area of the breach, a kink/wrinkle, melted jacket, and broken fibers were visible.At the distal tip, there was a slight indention/kink and the outer jacket and fibers appeared to be twisted.H6): based on the device evaluation and investigation, this has been determined to be a use related failure.Historically, the manufacturer has seen this failure when the force required to advance and maneuver is greater than the force that the working length can accommodate.When these forces are applied to the side of the outer jacket, the device becomes kinked.Broken fibers in the area redirect the laser energy, which creates a breach in the outer jacket.Type of investigation code b01 replaced (from b17).Investigation findings code c0706 replaced (from c20).Investigation conclusions code d1102 replaced (from d14).All other codes remain applicable as listed in the initial mdr.Submission of this report does not, in itself, represent a conclusion by the manufacturer and/or authorized representative or the national competent authority that the content of this report is complete or accurate, that the medical device(s) listed failed in any manner and/or that the medical device(s) caused or contributed to an alleged death or deterioration in the state of the health of any person.
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