| Model Number |
SGC0801 |
| Medical Device Problem Codes |
Leak/Splash (1354); Air/Gas in Device (4062)
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| Health Effect - Clinical Code |
Low Blood Pressure/ Hypotension (1914)
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| Date of Event |
08/20/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported on (b)(6) 2026 that the patient presented with grade 4 mixed mitral regurgitation (mr) for a mitraclip procedure.During the procedure, a loss of column and air were observed in steerable guide catheter(sgc) after dilator retraction and insertion of wire.Additional aspiration was performed for removal of air.Hypotension was noted.The sgc was removed from the anatomy.A replacement sgc was prepared and advanced inside anatomy.Again, a loss of column and air were observed in sgc after insertion of mitraclip ntw.Additional aspiration was performed for removal of air.The sgc was removed from the anatomy.A sgc replacement was utilized to complete the procedure with deployment of a mitraclip.The mr was reduced to grade 1 post procedure.There was no clinically significant delay reported.
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Event or Problem Description
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It was reported on (b)(6) 2026 that the patient presented with grade 4 mixed mitral regurgitation (mr) for a mitraclip procedure.During the procedure, a loss of column and air were observed in steerable guide catheter(sgc) after dilator retraction and insertion of wire.Additional aspiration was performed for removal of air.Hypotension was noted.The sgc was removed from the anatomy.A replacement sgc was prepared and advanced inside anatomy.Again, a loss of column and air were observed in sgc after insertion of mitraclip ntw.Additional aspiration was performed for removal of air.The sgc was removed from the anatomy.A sgc replacement was utilized to complete the procedure with deployment of a mitraclip.The mr was reduced to grade 1 post procedure.There was no clinically significant delay reported.
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Additional Manufacturer Narrative
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The device has been received.However, investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
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Additional Manufacturer Narrative
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All available information was investigated and the reported sgc leak/splash (loss of fluid column) and air/gas in device were not confirmed.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot.Additionally, a review of the complaint history did not indicate a lot-specific product issue.Based on information provided and the results of the returned device analysis (unable to confirm the reported issues), the cause for the reported leak/splash (loss of fluid column) and air/gas in the device resulting in hypotension could not be determined.The reported patient effect of hypotension is a known possible complication associated with mitraclip procedures.Unexpected medical intervention was a result of case-specific circumstances.There is no indication of a product issue with respect to manufacture, design or labeling.
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Search Alerts/Recalls
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