MAUDE Adverse Event Report: THE SPECTRANETICS CORPORATION SPECTRANETICS QUICK-CROSS SUPPORT CATHETER

Model Number 518-036

Device Problems Detachment of Device or Device Component (2907); Device Damaged by Another Device (2915)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 09/23/2019

Event Type  Injury  

Manufacturer Narrative

Patient information is unavailable.The quick cross device was evaluated on 03oct2019 by a cross-functional team.The catheter was received in two pieces.A portion of the distal tip was detached from the rest of the catheter.The marker band was crushed and the tubing shredded.Damage is consistent with being caught on stent.The other portion of the catheter is stretched out, as if it was pulled (also consistent with being caught on stent).

Event Description

A philips representative reported during a peripheral atherectomy procedure, the catheter snapped in two within the patient.Patient had previous bilateral iliac artery stents and the right side extended into the aorta.The quick cross catheter became "hung" on the right side stent edge (not in the stent structure) when physician was removing it.With left side common femoral artery (cfa) access, the physician was able to snare the wire from right side into left sheath, placed 5fr 90 cm dilator onto wire, and pushed remaining quick cross catheter out of left side cfa sheath.The physician was able to remove all parts without any issue and another spectranetics quick cross support catheter was used to complete the procedure.No patient injury occurred.

• Brand Name: SPECTRANETICS QUICK-CROSS SUPPORT CATHETER
• Type of Device: QUICK-CROSS
• Manufacturer (Section D): THE SPECTRANETICS CORPORATION; 9965 federal drive; colorado springs CO 80921
• Manufacturer Contact: catherine eaton ; 9965 federal drive; colorado springs, CO 80921 ; 719447-246
• MDR Report Key: 9175103
• MDR Text Key: 169252032
• Report Number: 1721279-2019-00175
• Device Sequence Number: 1
• Product Code: DQY
• UDI-Device Identifier: 20813132020679
• UDI-Public: (01)20813132020679(17)210731(10)FQP19G30A
• Combination Product (y/n): Y
• Reporter Country Code: US
• PMA/PMN Number: K033678
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,health
• Reporter Occupation: Physician
• Type of Report: Initial
• Report Date: 01/01/2005,09/23/2019

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 10/10/2019
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 07/31/2021
• Device Model Number: 518-036
• Device Catalogue Number: 518-036
• Device Lot Number: FQP19G30A
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 09/30/2019
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: Yes
• Date Report Sent to FDA: 01/01/2005
• Date Report to Manufacturer: 01/10/2005
• Date Manufacturer Received: 09/23/2019
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention