FDA Adverse Event Injury Summary report: N

ROTAPRO

MDR report key: 19556960 · Received June 18, 2024

Report

Report Number
2124215-2024-36883
Event Type
Injury
Date Received
June 18, 2024
Date of Event
May 28, 2024
Report Date
September 16, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
MCX
UDI-DI
08714729893363
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER ADDRESS 1: (B)(6) HOSPITAL .

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER ADDRESS 1: (B)(6). H6 - DEVICE CODES: ADDED DETACHMENT OF DEVICE OR DEVICE COMPONENT A0501, STRETCHED A040611, MATERIAL SEPARATION A0413. B5 - DESCRIBE EVENT OR PROBLEM: THE DEVICE WAS NOT RETURNED FOR EVALUATION. HOWEVER, AN ANALYSIS WAS CONCLUDED BASED ON THE PHOTO PROVIDED BY THE SITE SHOWING A DETACHED BURR AND STRETCHED AND DETACHED COIL.

Additional Manufacturer Narrative · 0

B5 - DESCRIBE EVENT OR PROBLEM: UPDATED. E1 - INITIAL REPORTER ADDRESS 1: (B)(6) HOSPITAL. DEVICE EVALUATED BY MFR: INSPECTION OF THE DEVICE FOUND THAT THE COIL WAS STRETCHED AND DETACHED AT THE BURR. THE BURR WAS DETACHED AND WAS FOUND RETURNED ON THE RETURNED ON A PORTION OF THE INCOMPLETE ROTAWIRE OF WHICH THE BURR WAS ABLE TO BE FULLY REMOVED WITH NO ISSUE OR RESISTANCE. INSPECTION OF THE DEVICE FOUND NO FURTHER DAMAGES OR DEFECTS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BURR BECAME STUCK IN THE LESION AND PATIENT UNDERWENT SURGERY. A 70% STENOSED TARGET LESION WAS LOCATED IN THE SEVERELY CALCIFIED AND MILDLY TORTUOUS OSTIAL CIRCUMFLEX ARTERY. A 1.50 ROTABURR WAS SELECTED FOR USE. DURING THE PROCEDURE, RESISTANCE WAS FELT WHEN TRYING TO EXIT THE WIRE THROUGH THE PROXIMAL END OF THE ADVANCER. UPON REMOVING THE WIRE, IT WAS NOTED TO BE A LITTLE KINKED IN THE PROXIMAL TIP OF THE WIRE. THE BENT WAS MODIFIED, AND PROGRESS WAS MADE WITHOUT PROBLEM. ABLATION WAS COMPLETED WITHOUT COMPLICATIONS HOWEVER, THE PHYSICIAN NOTICED THAT THERE WAS RESISTANCE. WHEN TRYING TO REMOVE THE BURR, THE GUIDE CATHETER LOST ITS OSTIAL POSITION IN HIS OPINION. THE PROXIMAL PART OF THE BURR WAS STUCK TO THE AORTA AND DID NOT ALLOW THE GUIDE CATHETER TO BE REINSERTED. THEY TRIED TO SNARE WITHOUT SUCCESS. PING PONG WAS ATTEMPTED WITH A SECOND WIRE, MANAGING TO CHANNEL AGAIN SUCCESSFULLY, BUT WITHOUT SUCCESS IN REMOVING THE BURR. OTHER OPTIONS WERE STOPPED, AND BY-PASS SURGERY WAS PERFORMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BURR BECAME STUCK IN THE LESION AND PATIENT UNDERWENT SURGERY. A 70% STENOSED TARGET LESION WAS LOCATED IN THE SEVERELY CALCIFIED AND MILDLY TORTUOUS OSTIAL CIRCUMFLEX ARTERY. A 1.50 ROTABURR WAS SELECTED FOR USE. DURING THE PROCEDURE, RESISTANCE WAS FELT WHEN TRYING TO EXIT THE WIRE THROUGH THE PROXIMAL END OF THE ADVANCER. UPON REMOVING THE WIRE, IT WAS NOTED TO BE A LITTLE KINKED IN THE PROXIMAL TIP OF THE WIRE. THE BENT WAS MODIFIED, AND PROGRESS WAS MADE WITHOUT PROBLEM. ABLATION WAS COMPLETED WITHOUT COMPLICATIONS HOWEVER, THE PHYSICIAN NOTICED THAT THERE WAS RESISTANCE. WHEN TRYING TO REMOVE THE BURR, THE GUIDE CATHETER LOST ITS OSTIAL POSITION IN HIS OPINION. THE PROXIMAL PART OF THE BURR WAS STUCK TO THE AORTA AND DID NOT ALLOW THE GUIDE CATHETER TO BE REINSERTED. THEY TRIED TO SNARE WITHOUT SUCCESS. PING PONG WAS ATTEMPTED WITH A SECOND WIRE, MANAGING TO CHANNEL AGAIN SUCCESSFULLY, BUT WITHOUT SUCCESS IN REMOVING THE BURR. OTHER OPTIONS WERE STOPPED, AND BY-PASS SURGERY WAS PERFORMED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BURR BECAME STUCK IN THE LESION AND PATIENT UNDERWENT SURGERY. A 70% STENOSED TARGET LESION WAS LOCATED IN THE SEVERELY CALCIFIED AND MILDLY TORTUOUS OSTIAL CIRCUMFLEX ARTERY. A 1.50 ROTABURR WAS SELECTED FOR USE. DURING THE PROCEDURE, RESISTANCE WAS FELT WHEN TRYING TO EXIT THE WIRE THROUGH THE PROXIMAL END OF THE ADVANCER. UPON REMOVING THE WIRE, IT WAS NOTED TO BE A LITTLE KINKED IN THE PROXIMAL TIP OF THE WIRE. THE BENT WAS MODIFIED, AND PROGRESS WAS MADE WITHOUT PROBLEM. ABLATION WAS COMPLETED WITHOUT COMPLICATIONS HOWEVER, THE PHYSICIAN NOTICED THAT THERE WAS RESISTANCE. WHEN TRYING TO REMOVE THE BURR, THE GUIDE CATHETER LOST ITS OSTIAL POSITION IN HIS OPINION. THE PROXIMAL PART OF THE BURR WAS STUCK TO THE AORTA AND DID NOT ALLOW THE GUIDE CATHETER TO BE REINSERTED. THEY TRIED TO SNARE WITHOUT SUCCESS. PING PONG WAS ATTEMPTED WITH A SECOND WIRE, MANAGING TO CHANNEL AGAIN SUCCESSFULLY, BUT WITHOUT SUCCESS IN REMOVING THE BURR. OTHER OPTIONS WERE STOPPED, AND BY-PASS SURGERY WAS PERFORMED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1331685 ROTAPRO CATHETER, CORONARY, ATHERECTOMY MCX BOSTON SCIENTIFIC CORPORATION 3243 08714729893363

Patients

Seq Age Sex Outcome Treatment
1 NA Male Required Intervention| O