FDA Adverse Event Malfunction Summary report: N

WANDA PTA BALLOON DILATATION CATHETER

MDR report key: 1771696 · Received July 27, 2010

Report

Report Number
2134265-2010-03188
Event Type
Malfunction
Date Received
July 27, 2010
Date of Event
June 29, 2010
Report Date
June 29, 2010
Manufacturer
BOSTON SCIENTIFIC - GALWAY
Product Code
LIT
PMA / PMN Number
SIMILAR
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MANUFACTURER: VISUAL AND TACTILE EXAMINATION OF THE RETURNED DEVICE REVEALED THE BALLOON HAD COMPLETELY DETACHED DISTAL TO THE EDGE OF THE PROXIMAL BALLOON SLEEVE. A COMPLETE BREAK HAD OCCURRED IN THE SHAFT DISTAL TO THE STRAIN RELIEF. THE DISTAL TIP WAS STRETCHED AND THE ACTUAL TIP OF THE DEVICE ALONG WITH THE DISTAL RADIOPAQUE MARKER HAD ALSO DETACHED. THE ACTUAL TIP AND THE DISTAL SECTION OF THE BALLOON WERE NOT RETURNED. THE DISTAL RADIOPAQUE MARKER AND 2MM OF THE SHAFT MATERIAL ON EITHER SIDE OF THE RADIOPAQUE MARKER WAS RECEIVED. VISUAL AND MICROSCOPIC EXAMINATION OF THE SHAFT DISTAL TO THE PROXIMAL RADIOPAQUE MARKERBAND NOTED THAT IT WAS FLATTENED AND DAMAGED. NO OTHER DAMAGE WAS NOTED TO THE SHAFT OF THE DEVICE. THE DAMAGE NOTED IS CONSISTENT WITH THE DEVICE COMING IN CONTACT WITH A RESTRICTION AND THEN THE DEVICE BEEN PULLED ON DURING REMOVAL FROM THE SHEATH. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE MOST PROBABLE ROOT CAUSE IS OPERATIONAL CONTEXT AS DEVICE PERFORMANCE WAS LIMITED DUE TO ANATOMICAL/PROCEDURAL FACTORS. (B)(4).

Additional Manufacturer Narrative · 1

AGE AT TIME OF EVENT: (B)(6). (B)(4).

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MANUFACTURER: VISUAL AND TACTILE EXAMINATION OF THE RETURNED DEVICE REVEALED THE BALLOON HAD COMPLETELY DETACHED DISTAL TO THE EDGE OF THE PROXIMAL BALLOON SLEEVE. A COMPLETE BREAK HAD OCCURRED IN THE SHAFT DISTAL TO THE STRAIN RELIEF. THE DISTAL TIP WAS STRETCHED AND THE ACTUAL TIP OF THE DEVICE ALONG WITH THE DISTAL RADIOPAQUE MARKER HAD ALSO DETACHED. THE ACTUAL TIP AND THE DISTAL SECTION OF THE BALLOON WERE NOT RETURNED. THE DISTAL RADIOPAQUE MARKER AND 2MM OF THE SHAFT MATERIAL ON EITHER SIDE OF THE RADIOPAQUE MARKER WAS RECEIVED. VISUAL AND MICROSCOPIC EXAMINATION OF THE SHAFT DISTAL TO THE PROXIMAL RADIOPAQUE MARKERBAND NOTED THAT IT WAS FLATTENED AND DAMAGED. NO OTHER DAMAGE WAS NOTED TO THE SHAFT OF THE DEVICE. THE DAMAGE NOTED IS CONSISTENT WITH THE DEVICE COMING IN CONTACT WITH A RESTRICTION AND THEN THE DEVICE BEEN PULLED ON DURING REMOVAL FROM THE SHEATH. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE MOST PROBABLE ROOT CAUSE IS OPERATIONAL CONTEXT AS DEVICE PERFORMANCE WAS LIMITED DUE TO ANATOMICAL/PROCEDURAL FACTORS. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A PERIPHERAL TREATMENT PROCEDURE, A BALLOON BURST WITH COMPONENT DETACHMENT OCCURRED. THE LESION WAS LOCATED IN A SEVERELY CALCIFIED LEFT FEMORAL ARTERY. UPON THE THIRD INFLATION WITH THE 8.0MM-40, 80 WANDA BALLOON CATHETER, THE BALLOON RUPTURED AT 8 ATMS. WHILE REMOVING THE BALLOON THROUGH A NON-BSC 6FR INTRODUCER, THE BALLOON INCLUDING THE DISTAL RO MARKER DETACHED IN THE ARTERY. THE PHYSICIAN WAS ABLE TO REMOVE ALL REMNANTS OF THE BALLOON BY REMOVING THE GUIDE WIRE AND THE INTRODUCER. THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH ANOTHER SAME BALLOON AND AN UNSPECIFIED STENT. NO PATIENT COMPLICATIONS OCCURRED. THE PATIENT STATUS WAS STABLE.

Description of Event or Problem · 1

THIS PRODUCT IS ONLY OUS APPROVED BUT IT IS SIMILAR TO AN APPROVED US DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 WANDA PTA BALLOON DILATATION CATHETER CATHETER, ANGIOPLASTY, PERIPHERAL, TRANSLUMINAL LIT BOSTON SCIENTIFIC - GALWAY H965SCH505160 13167109

Patients

Seq Age Sex Outcome Treatment
1 6FR TERUMO INTRODUCER SHEATH