| Model Number |
434887 |
| Medical Device Problem Code |
Device Dislodged or Dislocated (2923)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
10/31/2025
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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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After balloon dilatation in the main branch of the lad a type iii perforation occurred.Balloon dilatation was performed to stop bleeding and then, it was decided to implant a pk papyrus covered stent.The device failed to deliver to mid lad because it got trapped by a des in lm and dislodged.Additional balloon tamponade was performed, and the perforation was successfully sealed.
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Event or Problem Description
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After balloon dilatation in the main branch of the lad a type iii perforation occurred.Balloon dilatation was performed to stop bleeding and then, it was decided to implant a pk papyrus covered stent.The device failed to deliver to mid lad because it got trapped by a des in lm and dislodged.Additional balloon tamponade was performed, and the perforation was successfully sealed.
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Additional Manufacturer Narrative
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The affected pk papyrus stent system was not returned and could therefore not be subjected to a technical investigation.Images of the case such as angiographies could also not be obtained.The provided clinical information (pk papyrus device registration form, cathlab report) and the production documentation were reviewed to establish whether a device deficiency contributed to this event.Review of the production documentation confirmed that the device was manufactured according to specifications and fulfilled all the requirements of in process and final inspection.Based on the provided documentation and the conducted review no manufacturing-related root cause could be identified.The treating physician rated the occurrence as procedure- and device-related complication.Pk papyrus is indicated for the treatment of acute perforations of native coronary arteries and coronary bypass grafts in vessels 2.5 to 5.0 mm in diameter.As such, this device is typically used in emergent response to a life-threatening adverse procedural event unrelated to use of the pk papyrus.
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Search Alerts/Recalls
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