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As reported, the button of a 5f exoseal vascular closure device (vcd) could not be pressed during a carotid artery stent implantation procedure.The deployment button was reported as fully depressed and flush with the handle; however, it was also reported that excessive force was required and that the button only depressed halfway.Hemostasis was ultimately achieved using a suture-mediated closure device.There was no reported patient injury.The exoseal vascular closure device (vcd) was stored, inspected, handled, and prepared according to the instructions for use (ifu), with no abnormalities noted prior to use.An antegrade approach was used, and femoral artery suitability was verified by angiography, including an appropriate insertion angle and a vessel diameter of at least 5 mm.No visible calcium/plaque, stent, or stenosis greater than 50% was reported at or near the puncture site.No resistance, excessive force, or difficulty connecting the vcd to the sheath introducer was reported.The sheath introducer engaged and locked with the handle assembly, an audible click was heard, and pulsatile flow was observed.The indicator window turned solid black.The device will be returned for evaluation.
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