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As reported, the 2.5 x 150.014 saberx percutaneous transluminal angioplasty (pta) balloon was used and dilated at 16 atm.However, it ruptured on the first inflation.There was difficulty advancing the balloon catheter through the vessel and while crossing the lesion.A non-cordis 2.5 mm x 150mm balloon was used instead and expanded without issues.The procedure was completed successfully.This occurred in a below the knee case via ipsilateral approach.A non-cordis.014 wire crossed the lesion.The product was stored properly according to 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 maintained negative pressure during preparation.The intended procedure was evt.The lesion had little calcification.The vessel tortuosity was moderate.The percentage of stenosis was 70%.The device was used for a chronic total occlusion (cto).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.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The contrast to saline ratio was 50:50.The device was discarded.
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As reported, the 2.5 x 150.014 saberx percutaneous transluminal angioplasty (pta) balloon was used and dilated at 16 atm.However, it ruptured on the first inflation.There was difficulty advancing the balloon catheter through the vessel and while crossing the lesion.A non-cordis 2.5 mm x 150mm balloon was used instead and expanded without issues.The procedure was completed successfully.This occurred in a below the knee case via ipsilateral approach.A non-cordis.014 wire crossed the lesion.The product was stored properly according to 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 maintained negative pressure during preparation.The intended procedure was evt.The lesion had little calcification.The vessel tortuosity was moderate.The percentage of stenosis was 70%.The device was used for a chronic total occlusion (cto).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.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The contrast to saline ratio was 50:50.The product was not returned for analysis.A review of the manufacturing documentation associated with lot 2501084490 presented no issues during the manufacturing process that can be related to the reported event.Based on the limited information provided, it is not possible to draw a conclusion about a clinical relationship between the device and the event.Without the return of the device for analysis, the reported customer complaint ¿balloon burst at/below rbp and pta/ptca system tracking difficulty¿ could not be evaluated.Without the return of the device, and with no procedural films, the exact cause of the reported event could not be determined.Unspecified procedural, handling, and/or anatomical factors may have contributed to the reported issue.Difficulty tracking through an anatomical structure is a known procedural occurrence.The consequences of tracking difficulty occurring during clinical use of the device are usually addressed by modification in technique or substitution with another device.Tracking difficulty is most commonly related to the patient anatomy, operator technique and appropriate device selection.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.
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As reported, the 2.5 x 150.014 saberx percutaneous transluminal angioplasty (pta) balloon was used and dilated at 16 atm.However, it ruptured on the first inflation.There was difficulty advancing the balloon catheter through the vessel and while crossing the lesion.A non-cordis 2.5 mm x 150mm balloon was used instead and expanded without issues.The procedure was completed successfully.This occurred in a below the knee case via ipsilateral approach.A non-cordis.014 wire crossed the lesion.The product was stored properly according to 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 maintained negative pressure during preparation.The intended procedure was evt.The lesion had little calcification.The vessel tortuosity was moderate.The percentage of stenosis was 70%.The device was used for a chronic total occlusion (cto).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.The catheter was never in an acute bend.The balloon catheter did not kink while being used.The contrast to saline ratio was 50:50.The device was discarded.
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