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As reported, while using a 6f exoseal vascular closure device (vcd), closure was unsuccessful and hemostasis was not achieved.Pulsatile bleeding was noted 4 minutes after removal of the exoseal vcd and sheath.Hemostasis was achieved by changing to another 6f exoseal.There were no reported injuries to the patient.The device was stored and prepared according to the instructions for use (ifu).The exoseal vascular closure device (vcd) was used for an interventional procedure using a retrograde approach.The physician had achieved certification for use of the exoseal vcd.No visible device or package damage was observed prior to use, and only one exoseal device was used.The arterial site used a 6f non-cordis sheath.Angiography confirmed the femoral artery was suitable for the procedure, including a vascular sheath insertion angle of 30¿45 degrees, and the vessel diameter was confirmed to be at least 5 mm.There was no visible calcium or plaque at the puncture site, no stent near the puncture site, and no stenosis greater than 50% at or near the puncture site.The target femoral site had not been previously closed with a closure device or manual compression within 30 days before the procedure, and there was no evidence of pre-existing hematoma, arteriovenous fistula, or pseudoaneurysm at the access site before exoseal vcd use.The deployment button was fully depressed and flush against the handle, and the exoseal vcd and vascular sheath introducer were removed as a single unit approximately 1¿2 seconds after the deployment button was depressed.The indicator wire remained visible upon device removal, the plug was deployed to the proper location, and fingertip compression was maintained on the skin during device removal.No anticoagulants, antiplatelets, or thrombolytics were used.No multiple stick attempts were made before access was achieved.No signs or symptoms of distal blood flow occlusion were observed, and no treatment was provided to restore distal blood flow.The device will be returned for evaluation.
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