|
As reported, the plug of a 6/7f mynxgrip vascular closure device (vcd) was pulled out of the body when the device was removed after lsd, resulting in closure failure.The sealant was deployed to the proper location and subsequently dislodged.The vessel depth was not shallow.The sealant was deployed outside the vessel wall at the femoral artery puncture site; it was not completely above the skin and was partially in the tissue.The guidewire inside the balloon was found to be loop-shaped with a large outer diameter, as shown in the attachment.Hemostasis was achieved by manual compression for 15 minutes.There was no reported patient injury.The operator was highly experienced.The referenced guidewire was the soft guidewire that is part of the mynxgrip device and connects the atraumatic tip to the delivery shaft; it was a component of the mynxgrip device itself and was located between the atraumatic tip and the plug-release delivery shaft.No damage was found on the device or device packaging prior to opening.The advancer tube was held in place while the balloon was removed from the access site.A retrograde approach was used.The deployer was mynx certified.An 11f non-cordis short sheath was used.The femoral artery's suitability, including the vascular sheath introducer insertion angle of 30¿45 degrees, was verified.The vessel was arterial, and its diameter was verified to be at least 5 mm.There was no vessel tortuosity.The puncture location was the femoral artery, with no pvd or calcium in the vicinity of the puncture site.The device will be returned for evaluation.
|