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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.Based on the information provided, a definitive cause for the reported issue could not be determined.Factors that can contribute to difficult to advance/remove include, but are not limited to, kinks, bends, procedural technique, insufficient support, patient anatomical morphology, patient disease state, interactions with accessory devices or procedural contaminants (blood/contrast).In this case, it is possible that the device may have met resistance during advancement/retraction over the guide wire due to a build-up of procedural contaminants (blood/contrast) on the guide wire, resulting in the reported difficult to advance and difficult to remove; however, without the device or guide wire to examine, this cannot be confirmed.Based on the results of the complaint investigation, there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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