Prytime is reporting this mdr because it provides a convenience kit with a 7 fr introducer sheath to the user facility.Prytime medical is listed as the legal manufacturer of the convenience kit by virtue of its role as a repackager.The items within the kit are supplied in their original sealed oem packaging.The 7 fr introducer sheath included in this convenience kit is manufactured by teleflex, inc.It is unknown if this sheath was used in this case.The reporting physician, dr.(b)(6) communicated that uams has performed approximately 18 reboa procedures in high-risk obstetrics patients prior to 2020 without experiencing issues.Since the start of the year, they have performed 3 reboa procedures, 2 of which they experienced complications related to the introducer sheath.Two notable differences associated with the cases performed in 2020 are: dr.(b)(6), the trauma surgeon who was previously called upon to physically deploy the er-reboa catheter in high-risk obstetrics patients is no longer working at uams.The practice for high-risk obstetrics patients at uams has shifted from prophylactic deployment of the er-reboa catheter to prophylactic deployment of a 5 fr.Micro catheter, which would be upsized to a 7 fr.Introducer sheath to deploy the er-reboa catheter if necessary.In response to the issues experienced, dr.(b)(6) reported that uams is reverting to the practice of prophylactic deployment of the er-reboa catheter instead of the 5 fr.Micro catheter for high-risk obstetrics patients.Prytime is also working with uams to schedule additional on-site training.
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