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As reported by the field clinical specialist (fcs), during implant of a 23 mm sapien 3 ultra resilia valve in the aortic position, upon attempting to advance the delivery system with valve through the distal tip of the esheath+,, the implanter reported resistance but was able to push the valve/ system through.At the end of the case, when the devices were removed it's noted there was a tear at the distal tip of the esheath+.There were no other complications, nor any patient injuries.The patient was stable.Clarification noted that the delivery system was stuck at the distal tip of the esheath+.
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