It was reported that during a cryo ablation procedure, the balloon catheter was inserted into the sheath and a small air was continuously introduced intermittently while flushing the sheath.After the balloon catheter was removed from the sheath, a competitor product was inserted and air continued to be observed.The case was completed with cryo.No patient complications have been reported as a result of this event.
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Product event summary: the sheath 4fc12 with lot number 12882 showed the device was intact with no apparent issue.Pressure testing did not show any air passing through the tube or expelled from the distal tip.Functional testing showed air bubbles moving through the tube.As it is only the state of the hemostatic valve that was changed from the pressure test, it confirms a leak through the hemostatic valve.In conclusion, the reported air ingress was confirmed through testing.The sheath failed the returned product investigation due to a leaking hemostatic valve.Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
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