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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 query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.Cine images were received and reviewed by an abbott clinical specialist.In the images provide, the lad is heavily diseased throughout the vessel including the main vessel and the diagonals.It has heavy calcification as indicated in the incident description.The images provided do not show the guide wire visualized within the vessel.There is blushing around the vessel which indicates leaking of blood into the surrounding tissue which confirms the perforation.The source of the perforation cannot be confirmed but it is reasonable to expect that the guide wire caused or contributed to the perforation.The whisper es does have a higher tip load than some other guide wires.It is often used to traverse calcification or thick lesion material.The vessel imaged appear friable and heavily diseased which would contribute to the ease of perforation.The reported patient effect of perforation is listed in the hi-torque wire instruction for use as a known potential patient effect associated with the use of a wire in coronary or peripheral arteries and / or biliary tree.Based on the information received, the investigation determined that the reported issue appears to be related to operational context.It was reported the lesion was heavily calcified which likely contributed to the failure to advance.The vessel appeared friable.In this case, it is possible the patient anatomy and wire support contributed to the perforation.There is no indication of a product quality issue with respect to manufacture, design or labeling.
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