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It was reported that the procedure performed was to treat a heavily calcified, right anterior tibial artery that is 100% stenosed.After a microcatheter was advanced to a position proximal to the lesion, an attempt was made to exchange the existing ht command guide wire for another guide wire.After removal, the tip appeared unraveled and elongated.A new command guide wire was used to complete the procedure.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
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The device was not returned for analysis.Production record and corrective and preventive 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 may contribute to break include, but are not limited to, tensile strength, corrosion, excessive force applied to device, interaction with accessory devices, and/or interaction with challenging anatomy that led to the reported stretched coils.In this case, it is likely that challenging anatomy contributed to the reported broken material and stretched coils as it was reported that the procedure performed was to treat a heavily calcified, right anterior tibial artery that is 100% stenosed.Based on the results of the complaint investigation, there is no indication of a product quality issue with respect to manufacture, design or labeling of the device.
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