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Event description: it was reported that during a procedure to treat plaque in the mid right carotid artery using the paladin percutaneous transluminal angioplasty iep system, there was a delay in surgery of three minutes due to a product issue.The artery diameter was 5.5mm with moderate tortuosity.A 6fr sheath and a.035 guidewire were used.A embolic protection device was used.The vessel was post-dilated.No resistance was encountered when advancing the device.It was reported that the paladin filter would not open.The device was safely removed, and the procedure was completed using a new paladin 5.0x20 device.No patient complications have been reported as a result of this event.Investigation: the preliminary investigation determined that the filter could not be opened with a guidewire in place.Conclusions the mechanism to actuate the filter did not perform as expected.The device was safely removed and a second paladin device was successfully used.There were not patient complications as a result of this of the event.
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