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As reported by the field clinical specialist (fcs), during a transfemoral tavr procedure with a 29mm sapien 3 ultra resilia valve, resistance was felt during insertion of the valve with delivery system through the 16fr esheath+, and the valve got caught within the partially expandable.A bent tine was noticed on fluro.The devices were removed and replaced.The procedure was successful.Per report, there may have been interaction with the esheath+ when removing the 25mm tru balloon causing issues getting into and back through the sheath.Per device image received, the esheath+ has a sheath puncture with the bent valve tines exposed through the puncture site.
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