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H11: manufacturing review: based on the information available it is not reasonably suggested that a manufacturing process may have caused or contributed to the reported issue.A manufacturing related root cause was considered.However, the lot history records of this lot were reviewed with special attention to the manufacturing and inspection of this product and the product was found to have met the specification prior to shipment.Investigational summary: the returned sample is in locked condition with fully/ correctly loaded stent.A kink is present in the mid section of the catheter system.During device testing, the guidewire can be easily inserted and advanced from both ends until the kinked section is reached when the guidewire gets stuck.The investigation confirms kink leading to failure to advance.A process related issue could not be found.Based on the investigation of the provided information, the investigation is closed as confirmed for catheter kink and failure to advance.A definite root cause for the reported event could not be determined.Labeling review: in reviewing the relevant labeling for this product the potential issue was found addressed.The ifu state: 'prior to use flush the guidewire lumen of the stent system with normal, sterile saline until saline exits the tip of the system', and 'if resistance is met during stent system introduction, the stent system should be withdrawn and another stent system should be used.', and 'examine the stent system for any damage.If it is suspected that the sterility or performance of the stent system has been compromised, the device must not be used.' under required materials the ifu state a 0.035" guidewire.Section a through f: the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
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