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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.It was reported that out of packaging, the 4.0x15mm rx herculink elite stent delivery system was prepped before the sheath/stylet removal.It should be noted that the rx herculink elite peripheral stent system instruction for use lists packaging removal steps for sheath removal prior to delivery system preparation.In this case, it is unknown if the instruction for use (ifu) deviation related to stent preparation prior to sheath removal contributed to the reported event.Based on the information provided, a definitive cause for the reported issue could not be determined.Factors that may contribute to difficulty to remove (sheath/stylet) include, but are not limited to, incorrect stylet used, incorrect sheath used, and user mis-handling.In this case, it is possible that the instructions for use deviation related to device preparation prior to sheath removal contributed to the reported difficulties; however, this could not be confirmed.Based on the information provided, a definitive cause for the reported difficulty to remove cannot be determined.The reported stent dislodgement appears to be related to operational context as handling during the difficult removal likely caused the reported stent dislodgement.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.H6 medical device problem code: 2017 - failure to follow steps / instructions.
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