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| Catalog Number |
451414H0 |
| Medical Device Problem Code |
Detachment of Device or Device Component (2907)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
01/14/2026
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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Complaint conclusion: as reported, a 4f 100cm vertebral (vert) 135-degree angle tempo diagnostic catheter sheard at the hub during an angiogram with the tip in the descending aorta.The catheter experienced a complete separation at the junction between the proximal cuff and the proximal shaft.The user still had control of the proximal shaft after the separation and was able to remove the device.An unknown replacement catheter was used without issues, and the procedure was completed normally.The patient was not at risk and there were no reported injuries as no air entered the lumen.The contrast sprayed on to the drapes and there was no change of gas entering the cerebral circulation.This was during an angiogram performed by hand injection with less than 2 ml of contrast in a 5 ml syringe and it was the first angiogram performed with the tempo diagnostic catheter.The target vessel was the common carotid artery, which had no calcification or tortuosity.The device was stored and prepped per the instructions for use (ifu), and there was no damage to the device or packaging prior to use.There was no difficulty advancing the catheter.The device was not returned as expected.A product history record (phr) review of lot 18488900 revealed no anomalies or non-conformances during the manufacturing and inspection processes that can be associated with the reported event.The reported ¿catheter (body/shaft) ¿ separated¿ could not be substantiated because the device was not returned and images were not provided.The exact cause of the reported event cannot be determined.The device was stored and prepped per the instructions for use (ifu), and there was no damage to the device or packaging prior to use therefore, handling and procedural factors cannot be excluded.Users are trained to inspect for signs of damage prior to and during use.Any product with damage is not to be used.Information for safety is provided in the products labeling with the intent of making the user aware of the risks.According to the instructions for use (ifu), ¿treat all 4f (1.35 mm) catheters and smaller french sizes with ultimate care.The performance of these products may be impaired if not properly and cautiously handled during unpacking and preparation.¿ based on the available information and product analysis, there is no evidence to suggest the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
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Event or Problem Description
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As reported, a 4f 100cm vertebral (vert) 135-degree angle tempo diagnostic catheter sheard at the hub during an angiogram with the tip in the descending aorta.The catheter experienced a complete separation at the junction between the proximal cuff and the proximal shaft.The user still had control of the proximal shaft after the separation and was able to remove the device.An unknown replacement catheter was used without issues, and the procedure was completed normally.The patient was not at risk and there were no reported injuries as no air entered the lumen.The contrast sprayed on to the drapes and there was no change of gas entering the cerebral circulation.This was during an angiogram performed by hand injection with less than 2 ml of contrast in a 5 ml syringe and it was the first angiogram performed with the tempo diagnostic catheter.The target vessel was the common carotid artery, which had no calcification or tortuosity.The device was stored and prepped per the instructions for use (ifu), and there was no damage to the device or packaging prior to use.There was no difficulty advancing the catheter.The device was not returned as expected.
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Additional Manufacturer Narrative
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This device is available for analysis, but the engineering report is not yet available.However, it will be submitted within 30 days upon receipt.Additional information is pending and will be submitted within 30 days upon receipt.
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Event or Problem Description
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As reported, a 4f 100cm vertebral (vert) 135-degree angle tempo diagnostic catheter sheard at the hub during an angiogram with the tip in the descending aorta.The catheter experienced a complete separation at the junction between the proximal cuff and the proximal shaft.The user still had control of the proximal shaft after the separation and was able to remove the device.An unknown replacement catheter was used without issues, and the procedure was completed normally.The patient was not at risk and there were no reported injuries as no air entered the lumen.The contrast sprayed on to the drapes and there was no change of gas entering the cerebral circulation.This was during an angiogram performed by hand injection with less than 2 ml of contrast in a 5 ml syringe and it was the first angiogram performed with the tempo diagnostic catheter.The target vessel was the common carotid artery, which had no calcification or tortuosity.The device was stored and prepped per the instructions for use (ifu), and there was no damage to the device or packaging prior to use.There was no difficulty advancing the catheter.The device was returned.
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Additional Manufacturer Narrative
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After further review of additional information received the following sections have been updated accordingly: b4, g3, g6, h1, h2, h3, h6, and h11.Complaint conclusion: as reported, a 4f 100cm vertebral (vert) 135-degree angle tempo diagnostic catheter sheard at the hub during an angiogram with the tip in the descending aorta.The catheter experienced a complete separation at the junction between the proximal cuff and the proximal shaft.The user still had control of the proximal shaft after the separation and was able to remove the device.An unknown replacement catheter was used without issues, and the procedure was completed normally.The patient was not at risk and there were no reported injuries as no air entered the lumen.The contrast sprayed on to the drapes and there was no change of gas entering the cerebral circulation.This was during an angiogram performed by hand injection with less than 2 ml of contrast in a 5 ml syringe and it was the first angiogram performed with the tempo diagnostic catheter.The target vessel was the common carotid artery, which had no calcification or tortuosity.The device was stored and prepped per the instructions for use (ifu), and there was no damage to the device or packaging prior to use.There was no difficulty advancing the catheter.A non-sterile cath tempo 4f ver 135° 100 cm catheter was received coiled inside a clear plastic bag and was unpacked for product evaluation.Visual inspection identified a separation on the body of the unit approximately 99.8 cm from the distal tip.A kinked bend condition was also noted on the body of the unit approximately 13.7 cm and 83.9 cm from the distal tip.No other damage or anomalies were observed on the returned device components.Amplified images of the separated area were reviewed and showed evidence of elongation and plastic deformation, findings commonly associated with tensile overload.Based on these observations, the plastic material was subjected to a tensile force that exceeded the material component¿s yield strength prior to the observed damage.Dimensional analysis was performed near the affected area, and the results were found to be within specification.Based on the available information and analysis, there is no evidence to suggest the reported failure is related to the manufacturing process.The reported ¿catheter (body/shaft) ¿ separated¿ was observed.Product evaluation results indicate the plastic material was subjected to a tensile force that exceeded the material component¿s yield strength prior to separating.The source of this force is unknown.According to the instructions for use (ifu), ¿treat all 4f (1.35 mm) catheters and smaller french sizes with ultimate care.The performance of these products may be impaired if not properly and cautiously handled during unpacking and preparation.¿ based on the available information and product analysis, there is no evidence to suggest the event is related to the device design or manufacturing process.Therefore, no preventative or corrective actions will be taken at this time.
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Search Alerts/Recalls
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