Catalog Number B2040-120 |
Device Problems
Leak/Splash (1354); Material Rupture (1546); Improper or Incorrect Procedure or Method (2017)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 06/22/2019 |
Event Type
malfunction
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Manufacturer Narrative
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Exemption number (b)(4) - permits numbering sequence to begin with 10000, to avoid duplication of report numbers due to process transition.There may be gaps in numbering for reports submitted during the transition period.(b)(4).The device is expected to be returned for investigation.It has not yet been received.A follow-up report will be submitted with all additional relevant information.
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Event Description
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It was reported that the procedure was performed to treat a moderately calcified, mildly tortuous popliteal artery that was 91% stenosed.A 4.0x120 armada 35 balloon dilatation catheter (bdc) leaked from the inflation port while inflating the balloon.Reportedly, the armada 35 was not prepped (air aspirated) prior to use.A new 4.0x80mm armada bdc was used to successfully complete the procedure.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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Visual and functional inspections were performed on the returned device.The leak was not confirmed.However, a balloon rupture was confirmed.A review of the lot history record identified no manufacturing nonconformities issued to the reported lot that would have contributed to this event.Additionally, a review of the complaint history of the reported lot revealed no other incidents.The armada 35 instruction for use (ifu) describes preparation of the pta catheter prior to insertion into the anatomy.The investigation determined that the balloon rupture likely occurred due to case circumstances.It is likely that the rupture occurred due to interaction with lesion calcification which was described as moderately calcified, mildly tortuous popliteal artery that was 91% stenosed.There is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.
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Event Description
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Additional information: device analysis did not confirm the leak from the hub and noted leakage from the balloon.It was confirmed from the account that the rupture occurred during the procedure.The balloon ruptured at 3atms on the first inflation.No additional information was provided.
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Search Alerts/Recalls
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