Catalog Number SGC0301 |
Device Problem
Leak/Splash (1354)
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Patient Problem
No Patient Involvement (2645)
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Event Date 06/12/2019 |
Event Type
malfunction
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Manufacturer Narrative
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(b)(4).During processing of this complaint, attempts were made to obtain complete event, patient and device information.The customer reported the device was discarded.Investigation is not yet complete.A follow-up report will be submitted with all additional relevant information.
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Event Description
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This is filed to report the leak on the first device.It was reported that this was a mitraclip procedure to treat grade 4 degenerative mitral regurgitation (mr).During device preparation, the fluid column (hemostatic valve) of the steerable guide catheter (sgc) did not hold during the fluid column test.Saline left the hemostatic valve.There was no patient involvement.The second sgc held fluid column and was inserted into the patient, but it was difficult to cross the septum due to the patient's rotated heart.After the sgc was advanced to the left atrium, they could no longer visualize the sgc in the atrium.The rotation of the heart made imaging very complicated.The sgc was removed and the procedure was aborted.Mr was untreated.There were no adverse patient effects and no clinically significant delay in the procedure.No additional information was provided.
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Manufacturer Narrative
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Internal file number - (b)(4).The device was not returned for analysis.A review of the lot history record revealed no manufacturing nonconformities issued to the reported lot.Additionally, a review of the complaint history identified no similar incidents reported from this lot.All available information was investigated and a definitive cause for the reported steerable guide catheter (sgc) leak (loss of fluid column during sgc preparation) could not be determined.There is no indication of a product quality issue with respect to manufacture, design or labeling.
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Search Alerts/Recalls
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