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As reported, the deployment button of a 5f exoseal vascular closure device (vcd) could not be pressed, and the device could not be deployed.Manual compression was used for hemostasis.There was no reported patient injury.The procedure used a retrograde approach, and the physician was certified in the use of the exoseal vcd.There were no visible signs of device or package damage before use.The device was stored and prepared according to the instructions for use (ifu).One exoseal vcd and an unknown catheter sheath introducer were used for the patient.Angiography confirmed the suitability of the femoral artery and that the insertion angle of the vascular sheath introducer was 30¿45 degrees.The vessel diameter was confirmed to be greater than or equal to 5mm, and no obvious calcium deposition, plaque, stent, or stenosis greater than 50% was observed at or near the puncture site.Before use of the exoseal vcd, there was no evidence of a pre-existing hematoma, arteriovenous fistula, or pseudoaneurysm at the access site.The exoseal vcd and vascular sheath introducer were retracted together until pulsatile flow from the bleed-back indicator significantly slowed or stopped and until the indicator window changed to solid black.When deployment was attempted, the button would not depress at all.The indicator window was solid black at that time and did not display any red color during retraction.The device was not attempted to be deployed outside the patient¿s body.There was no access vessel tortuosity.The target femoral site had not been closed with a closure device or manual compression less than 30 days before the procedure.The exoseal vcd was used in an interventional procedure.After removal from the patient, the plug had not detached from the exoseal vcd.The device will be returned for evaluation.
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Due to system limitations, section h6 required to input type of investigation, investigation findings, and investigation conclusions for an initial report.Pending additional information to complete investigation.This device is available for analysis, but the engineering report is not yet available.However, it will be submitted within 30 days upon receipt.Additional information is pending and will be submitted within 30 days upon receipt.
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