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It was reported that the procedure was to treat a 99% stenosed lesion in the right coronary artery (rca) with heavy calcification and mild tortuosity.The 3x15mm nc trek neo balloon dilatation catheter (bdc) was used in the procedure; however, the balloon ruptured during the initial inflation at 6 atmospheres (atm).Therefore, the bdc was removed from the patient.Another unspecified non-compliant balloon was used to continue the procedure.There was no adverse patient effect and no clinically significant delay reported in the procedure.No additional information was provided.
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The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a review of the complaint history identified no other similar complaints from this lot.Based on the information received, the investigation determined that the reported balloon rupture appears to be related to operational context.There was no leak noted during preparation, which suggests a product quality issue did not contribute to the reported difficulties.In this case, it is likely that the balloon interacted with the heavily calcified anatomy resulting in the reported balloon rupture during inflation.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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