FDA Adverse Event Malfunction Summary report: N

POWERSAIL CORONARY DILATATION CATHETER

MDR report key: 1172342 · Received September 19, 2008

Report

Report Number
2024168-2008-00829
Event Type
Malfunction
Date Received
September 19, 2008
Date of Event
August 20, 2008
Report Date
August 20, 2008
Manufacturer
ABBOTT VASCULAR-CARDIAC THERAPIES
Product Code
LOX
PMA / PMN Number
P810046
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AZ, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

REPORTING STATUS: MALFUNCTION. REPORTING RATIONALE: PARTIALLY DEFLATED BALLOON IS LIKELY TO CAUSE OR CONTRIBUTE TO PT INJURY. DEVICE ISSUE: PARTIALLY DEFLATED BALLOON. IT WAS REPORTED THAT AFTER PREDILATATION OF THE DISTAL RCA WITH A VOYAGER, THE LESION WAS STENTED WITH A VISION. POST DILATATION WAS PERFORMED AT NOMINAL PRESSURE (10 ATM) WITH A POWERSAIL. AT THE FIRST INFLATION, NO CONTRAST WAS SEEN; THEREFORE, IT WAS UNCERTAIN WHETHER THE BALLOON HAD FULLY INFLATED. UPON THE SECOND INFLATION, CONTRAST WAS VISIBLE AND POST DILATATION WAS PERFORMED. AFTER POST DILATATION, THE BALLOON DID NOT DEFLATE. AN INDEFLATOR WAS USED TO RE-INFLATE THE BALLOON, AS IT WAS UNCERTAIN IF THE BALLOON HAD BEEN INFLATED ENOUGH. THE BALLOON WAS BROUGHT UP TO 10 ATM TWICE, BUT STILL UNABLE TO DEFLATE. A 20 CC SYRINGE WAS THEN USED ON THE STOPCOCK TO ADD ADDITIONAL PRESSURE. THE BALLOON WAS ABLE TO BE DEFLATED ENOUGH TO REMOVE FROM THE VESSEL. NO PATIENT EFFECTS WERE REPORTED. NO ADDITIONAL EVENT OR PATIENT INFO IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 POWERSAIL CORONARY DILATATION CATHETER LOX ABBOTT VASCULAR-CARDIAC THERAPIES NA 8071061

Patients

Seq Age Sex Outcome Treatment
1 UNK