The physician advanced the complaint device from the dfa, but the dilator became kinked.The complaint device was replaced with same rpn (same lot) product, but dilator became kinked again.A 3rd product (same lot) was used, but still had the same problem.It was further noted that the tip of the complaint devices displayed tearing and the 3rd sheath was noted to be elongated.The physician used another company's product to complete the procedure.There was no reported patient injury and additional medial intervention was not required.
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