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ST. JUDE MEDICAL SWARTZ¿ BRAIDED TRANSSEPTAL GUIDING INTRODUCER, SL0¿, 63 CM LENGTH, 8F; INTRODUCER, CATHETER
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| Model Number |
407449 |
| Medical Device Problem Code |
Gas/Air Leak (2946)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
04/07/2025
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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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During the atrial fibrillation procedure, an air leak occurred.After preparing and flushing the introducer, it was inserted into the right atrium.With the introducer leaned against the septal wall, air was observed in the transparent part, entering through the hemostasis valve.The introducer was replaced and the procedure was completed with no adverse consequences to the patient.
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Additional Manufacturer Narrative
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Additional information: d9, g3, h2, h3, h6 one 8.5f swartz braided introducer sheath and dilator were received for evaluation.Functional testing determined a leak was noted in the hemostasis valve.The cap was removed from the hemostasis hub and the hemostasis seals were microscopically inspected.Tearing, resulting in a hole, was noted in the proximal and distal seals.A corrective action was initiated to address the failure mode of the swartz braided introducer leak.The ifu states: do not remove dilator or catheter rapidly.Damage to the valve may occur, potentially compromising hemostasis.
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