Device is a combination product.(b)(4).Device evaluated by mfr: promus element plus,mr,ous 2.75x24mm stent delivery system (sds) was returned for analysis.A visual and microscopic examination of the crimped stent identified stent damage.The proximal section of the stent was damaged with stent struts stretched over the proximal balloon cone.The undamaged crimped stent od (outer diameter) was measured and the result was within max crimped stent profile measurement.The balloon cones were reviewed and no issues were noted.The balloon wings were tightly wrapped and evenly folded and were not subjected to positive pressure.A visual and tactile examination of the hypotube found no issues.A visual and tactile examination of shaft polymer extrusion revealed no issues.A visual and microscopic examination found damage to the tip.No other issues were identified during the product analysis.The manufacturing batch record review confirmed that the device met all material, assembly and performance specifications.The investigation conclusion is operational context as the product meets the design and manufacture specification but due to anatomical/procedural factors encountered during the procedure, performance was limited.(b)(4).
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Reportable based on device analysis completed on (b)(6) 2018.It was reported that crossing difficulties were encountered.Vascular access was obtained via the femoral artery.The target lesion was located in the severely tortuous diagonal branch.Following pre-dilatation, a 2.75x20mm promus element plus drug-eluting stent was advanced but failed to cross the lesion despite a couple of times attempting.A 2.75x24mm promus element plus drug-eluting stent was then advanced but it also failed to cross the lesion.The procedure was completed with a non-bsc device.No patient complications were reported and the patient was doing good.However, returned device analysis revealed proximal stent damage.
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