| Catalog Number |
48005025X |
| Medical Device Problem Code |
Burst Container or Vessel (1074)
|
| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
|
| Date of Event |
06/23/2025
|
|
Type of Reportable Event
|
Malfunction
|
|
Additional Manufacturer Narrative
|
|
E1 phone number: (b)(6).Additional information is pending and will be submitted within 30 days upon receipt.
|
| |
|
Event or Problem Description
|
|
As reported, the 5mm 25cm.018 saber percutaneous transluminal angioplasty (pta) balloon catheter ruptured.The procedure was completed using another.018 saber balloon.There was no reported injury to the patient.The device had been stored and prepared in accordance with the instructions for use (ifu).There was no difficulty removing the product from the hoop.There was no difficulty removing the protective balloon cover.There was no difficulty removing the stylet or any of the sterile packaging components.No kinks or other damages were noted prior to inserting the product into the patient.The device was prepped per the ifu.The device prepped normally, maintaining negative pressure.The intended procedure was for the superficial femoral artery (sfa).The lesion was severely calcified.The vessel tortuosity was severe.There was no resistance or friction while inserting the balloon through the rotating hemostatic valve.There was no resistance or friction while inserting the balloon through the guide catheter.There was no difficulty advancing the balloon catheter through the vessel.There was no difficulty crossing the lesion with the balloon catheter.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The product will be returned for further analysis.
|
| |
|
Additional Manufacturer Narrative
|
|
As reported, the 5mm 25cm.018 saber percutaneous transluminal angioplasty (pta) balloon catheter ruptured.The procedure was completed using another.018 saber balloon.There was no reported injury to the patient.The device had been stored and prepared in accordance with the instructions for use (ifu).There was no difficulty removing the product from the hoop.There was no difficulty removing the protective balloon cover.There was no difficulty removing the stylet or any of the sterile packaging components.No kinks or other damages were noted prior to inserting the product into the patient.The device was prepped per the ifu.The device prepped normally, maintaining negative pressure.The intended procedure was for the superficial femoral artery (sfa).The lesion was severely calcified.The vessel tortuosity was severe.There was no resistance or friction while inserting the balloon through the rotating hemostatic valve.There was no resistance or friction while inserting the balloon through the guide catheter.There was no difficulty advancing the balloon catheter through the vessel.There was no difficulty crossing the lesion with the balloon catheter.The catheter was never in an acute bend.The balloon catheter did not kink while being used.A non-sterile unit of ¿saber 5mm25cm 150¿ was received for analysis coiled inside of a clear plastic bag.The device was unpacked to proceed with the product evaluation.A thorough inspection was performed observing an axial burst on the balloon.No other outstanding details were observed.Functional test was performed.One inflator/deflator device was attached to the inflation port.Balloon inflation test was done applying positive pressure using the inflator/deflator device with the purpose of reaching the rated burst pressure (rbp).However, inflation pressure was not maintained due to the burst condition observed on the balloon.The balloon was inspected with a vision system observing a rupture on the surface where the water is leaking.The balloon surface presented evidence of a rupture condition with elongations and secondary scratch marks located near the damaged border area the reported event of ¿balloon burst¿ was not observed through analysis of the returned device since no leakage or rupture of the balloon was observed during the functional analysis.The cause of the reported issue could not be determined.Unspecified procedural, handling, and/or anatomical factors may have contributed to the reported issue.However, the damage observed is commonly caused during the interaction of the material with a sharp object or mechanical damage.It is very likely that the same factors that caused the observed scratch marks and elongations on the surface could probably lead to the damaged condition found on the received device.It seems that the material near the damaged area was affected by a sharp object from the outside of the device, such as the severe calcification 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.At least 99.9% of the balloons (with a 95% confidence) will not burst at or below their rated burst pressure.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.¿ based on the information available for review, there is no indication to suggest that the reported failure could be related to the design or manufacturing process of the unit.Therefore, no corrective/preventative actions will be taken at this time.
|
| |
|
Event or Problem Description
|
|
As reported, the 5mm 25cm.018 saber percutaneous transluminal angioplasty (pta) balloon catheter ruptured.The procedure was completed using another.018 saber balloon.There was no reported injury to the patient.The device had been stored and prepared in accordance with the instructions for use (ifu).There was no difficulty removing the product from the hoop.There was no difficulty removing the protective balloon cover.There was no difficulty removing the stylet or any of the sterile packaging components.No kinks or other damages were noted prior to inserting the product into the patient.The device was prepped per the ifu.The device prepped normally, maintaining negative pressure.The intended procedure was for the superficial femoral artery (sfa).The lesion was severely calcified.The vessel tortuosity was severe.There was no resistance or friction while inserting the balloon through the rotating hemostatic valve.There was no resistance or friction while inserting the balloon through the guide catheter.There was no difficulty advancing the balloon catheter through the vessel.There was no difficulty crossing the lesion with the balloon catheter.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The product will be returned for further analysis.
|
| |
|
Event or Problem Description
|
|
As reported, the 5mm 25cm.018 saber percutaneous transluminal angioplasty (pta) balloon catheter ruptured.The procedure was completed using another.018 saber balloon.There was no reported injury to the patient.The device had been stored and prepared in accordance with the instructions for use (ifu).There was no difficulty removing the product from the hoop.There was no difficulty removing the protective balloon cover.There was no difficulty removing the stylet or any of the sterile packaging components.No kinks or other damages were noted prior to inserting the product into the patient.The device was prepped per the ifu.The device prepped normally, maintaining negative pressure.The intended procedure was for the superficial femoral artery (sfa).The lesion was severely calcified.The vessel tortuosity was severe.There was no resistance or friction while inserting the balloon through the rotating hemostatic valve.There was no resistance or friction while inserting the balloon through the guide catheter.There was no difficulty advancing the balloon catheter through the vessel.There was no difficulty crossing the lesion with the balloon catheter.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The product will be returned for further analysis.
|
| |
|
Additional Manufacturer Narrative
|
|
This device is available for analysis, but the engineering report is not yet available.However, it will be submitted within 30 days upon receipt.
|
| |
|
Search Alerts/Recalls
|