Product analysis summary: the balloon catheters used in the case were not returned for analysis with the launchers.
As received the catheter appears undamaged.
The catheter was flushed with water into a strainer.
No debris came out.
An.
035¿ wire passed through the lumen without resistance.
The inner diameter meets specification at.
071¿.
The presence of purple staining after dye tests confirms the presence of lumen lubricant.
Dissection revealed coagulated blood and debris measuring less than 1 mm in size in the catheter lumen mid shaft and distal end of the catheter.
The debris was sent for testing.
Ftir results show the unknown materials are composed of polyurethane.
The guide catheter is composed of pebax and vestamide (inner and outer jacket of catheter, respectively) and are chemically different.
If information is provided in the future, a supplemental report will be issued.
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Two launcher guide catheters, one la6al10 and one la6sal10; were intended to be used to treat moderately tortuous, moderately calcified in the rca and lad, cass # 2 and 12.
There was no damage noted to the device packaging.
The devices were removed from the packaging with no issues.
The devices were inspected with no issues.
The devices were prepped per ifu with no issues.
No issues were noted during maneuvering and engaging the launchers to the lesion.
Resistance was encountered when advancing the balloon catheters and stents (all non-medtronic) in the launchers at straight section proximal to the secondary curve.
Excessive force was not used during delivery.
No patient injury is reported.
The procedure was completed by replacing the launchers with non-medtronic devices.
The physician felt as if the device tip hit something inside the launcher, and resistance persisted afterwards.
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