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As reported, a 3.5mm x 300mm 150cm saber x.014 percutaneous transluminal angioplasty (pta) dilatation catheter ruptured during the first inflation at 6 atmospheres in a same-side below-the-knee case.A non-cordis pta balloon was used as a replacement, and the procedure was successfully completed.There was no reported patient injury.Additional event details were requested; however, could not be obtained.The device will not be returned for evaluation as anticipated.
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As reported, a 3.5mm x 300mm 150cm saberx.014 percutaneous transluminal angioplasty (pta) dilatation catheter ruptured during the first inflation at six atmospheres in a same-side below-the-knee case.A non-cordis pta balloon was used as a replacement, and the procedure was successfully completed.There was no reported patient injury.Additional event details were requested; however, they could not be obtained.The device was not returned for evaluation as anticipated.A product history record (phr) review of lot 2306278367 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The reported event of ¿balloon- burst at/below rbp¿ could not be verified, as the device was not returned for analysis.Consequently, the precise root cause cannot be determined.While vessel morphology and procedural factors, are likely contributors though not specified.Without the device for evaluation, a definitive link between the device and the reported event cannot be established.According to the instructions for use, which are not intended to mitigate risk, ¿carefully inspect the catheter prior to use to verify that the catheter has not been damaged and that its size, shape and condition are suitable for the procedure for which it is to be used.Flush or rinse all products entering the vascular system with sterile isotonic saline or a similar solution via the guide-wire access port prior to use.Never attempt to move the guide wire when the balloon is inflated.Do not advance the catheter against significant resistance.The cause of resistance should be determined via fluoroscopy.Inflation in excess of the rated burst pressure may cause the balloon to rupture.Use the recommended balloon inflation medium (25% contrast medium/75% sterile saline solution).It has been shown that a 25/75% contrast / saline ratio has yielded faster balloon inflation / deflation times.Never use air or other gaseous medium to inflate the balloon.If resistance is felt during post procedure withdrawal of the catheter through the introducer sheath, determine if contrast is trapped in the balloon with fluoroscopy.If contrast is present, push the balloon out of the sheath and then completely evacuate the contrast before proceeding to withdraw the balloon.If resistance is still felt during post procedure withdrawal of the catheter, it is recommended to remove the balloon catheter and guidewire/ introducer sheath as a single unit.Do not continue to use the balloon catheter if the shaft has been bent or kinked.¿ neither the phr nor the information available suggests a design or manufacturing related cause for the reported event.Therefore, no corrective or preventive action will be taken at this time.
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