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It was reported that this was closure of an unspecified access site using a proglide device using the pre-close technique prior to a endovascular leak repair interventional procedure.Reportedly, a cuff miss "[suture retrieval issue]" occurred with three proglide devices.The sutures of two new proglide devices were successfully pre-placed.The endovascular leak repair procedure was completed.Post procedure during knot advancement, one of the pre-placed sutures snapped/separated.It is unknown which of the two pre-placed sutures snapped.The remaining suture/knot was advanced to the vessel and tightened as intended.Manual compression was applied to achieve hemostasis.There was no reported adverse patient effect.No additional information was provided.
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The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.Based on the information provided, a definitive cause for the reported suture separation during knot advancement could not be determined.In this case, it is possible that the tensioning of the suture was not coaxial during knot advancement and contributed to the reported suture separation.However, this cannot be conclusively determined.Based on the results of the complaint investigation, there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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