No hospital/medical records or medical images have been made available to the manufacturer.As the lot number for the device is unknown, a review of the device history records cannot be performed.The device has been returned to the manufacturer for evaluation.The investigation of the reported event is currently underway.The information provided by bard represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bard.
|
Manufacturing review: the lot number was provided and the lot device history records were reviewed.The lot met all release criteria.There was nothing found to indicate there was a manufacturing related cause for this event.Visual/microscopic inspection: the sample was returned.The balloon was not in its original folded configuration.No anomalies were noted to the strain relief or the y-hub.Functional/performance evaluation: the patency of the lumen was tested using an 0.035¿ guidewire and passed without issue.The inflation hub was connected to an inflation device and the balloon was inflated with water.During inflation, water was observed leaking out of the distal end of the strain relief.The strain relief was removed and a partial circumferential catheter shaft break was found just distal to the y-hub.Sanding marks were noted on the catheter underneath the strain relief and at the location of the break.Medical records review: medical records were not provided for review.Image/photo review: images/photos were not provided for review.Conclusion: the investigation is confirmed for a partial circumferential catheter shaft break just distal to the y-hub, resulting in the reported leak.Excessive sanding of the catheter under the strain relief is the root cause for the partial break in the catheter.Labeling review: the current ifu (instructions for use) states: precautions: carefully inspect the catheter prior to use to verify that catheter has not been damaged during shipment and that its size, shape, and condition are suitable for the procedure for which it is to be used.Do not use if product damage is evident.Use of the ultraverse 035 pta dilatation catheter: position the balloon relative to the lesion to be dilated, ensure the guidewire is in place, and inflate the balloon to the appropriate pressure.The information provided by bard represents all of the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bard.
|