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Reportable based on the device analysis completed on (b)(6) 2026.It was reported that the device failed to cross the lesion due to calcification.The 90% stenosed target lesion was located in the severely calcified and moderately tortuous left anterior descending artery.A guidezilla ii, 6f was selected for use.During introduction, the device failed to cross the lesion due to calcification.The procedure was completed with another of the same device.The procedure was completed and the patient was stable with no complications.However, analysis of the returned device revealed that the collar was detached.
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Good faith effort attempts were made to try and retrieve additional details regarding the reported event, but further information was unable to be obtained.With all the available information, boston scientific concludes:
device technical analysis:
the device was returned for analysis.Inspection revealed that there was a collar weld plate separation.The tip was also damaged.Device history review:
review confirmed that the device met all material, assembly, and performance specifications prior to distribution.Investigation conclusion:
this investigation has been assigned an investigation conclusion code of adverse event related to patient condition, following a review of the reported event details, available information, and product record review.During product analysis it was observed a collar weld plate separation and the tip damaged, it is most likely the presence of anatomical calcification presented a constriction over the catheter and increase the friction when the device was advancing through the lesion reducing the mobility and generating the reported issues.Batch record review concluded that no manufacturing deviations were identified during the manufacturing process which could have contributed to the reported issue.
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