FDA Adverse Event Malfunction Summary report: N

MAVERICK2 BALLOON CATHETER

MDR report key: 1971414 · Received January 27, 2011

Report

Report Number
2134265-2011-00088
Event Type
Malfunction
Date Received
January 27, 2011
Date of Event
January 7, 2011
Report Date
January 7, 2011
Manufacturer
BOSTON SCIENTIFIC - MAPLE GROVE
Product Code
LOX
PMA / PMN Number
P860019
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(6). (B)(4).

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MFR.: BLOOD AND CONTRAST WERE VISIBLE THROUGHOUT THE DISTAL LUMEN. AN INFLATION DEVICE WAS USED TO REVEAL A PINHOLE ON THE BALLOON WALL LOCATED ON THE PROXIMAL END OF THE BALLOON 3MM FROM BALLOON WAIST. INSPECTION OF THE BALLOON PRESENTED NO IRREGULARITIES IN THE BALLOON MATERIAL OR THE RO MARKERS THAT COULD HAVE CONTRIBUTED TO THE DAMAGE. THE MANUFACTURING BATCH RECORD REVIEW FOR THE REPORTED BATCH CONFIRMED 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

SAME CASE AS MFR REPORT #: 2134265-2011-00089. IT WAS REPORTED THAT DURING A PERCUTANEOUS CORONARY INTERVENTION, A BALLOON RUPTURE OCCURRED. ACCESS WAS OBTAINED VIA THE RIGHT RADIAL ARTERY. THE 90% STENOSED ECCENTRIC DE NOVO LESION MEASURING 2.25-2.75MM IN DIAMETER AND APPROXIMATELY 10MM IN LENGTH WAS LOCATED IN A MODERATELY CALCIFIED AND SEVERELY TORTUOUS DISTAL LEFT CIRCUMFLEX ARTERY THAT CONTAINED A BEND OF APPROXIMATELY 90 DEGREES. A 2.25X12MM MAVERICK2 BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 8 ATMS. THE BALLOON RUPTURED ON THE FIRST INFLATION. ANOTHER MAVERICK2 BALLOON WAS ADVANCED TO THE LESION AND INFLATED. THE PHYSICIAN THEN ATTEMPTED TO ADVANCE A 2.5X8MM NC QUANTUM APEX BALLOON TO THE LESION BUT WAS HAVING DIFFICULTY. AFTER CROSSING THE LESION WITH A SECOND WIRE, THE 2.5X8MM NC QUANTUM APEX BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 10 ATMS WHEN IT RUPTURED. ANOTHER NC QUANTUM APEX BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 6 ATMS AND 8 ATMS A TOTAL OF 4 TIMES TO COMPLETE PREDILATION OF THE LESION. SOME RESIDUAL STENOSIS WAS NOTED. DUE TO THE TORTUOUSITY OF THE LESION, THE PHYSICIAN ELECTED TO COMPLETE THE CASE AT THIS TIME. NO PATIENT COMPLICATIONS OCCURRED. PATIENT STATUS IS LISTED AS GOOD.

Description of Event or Problem · 1

SAME CASE AS MFR REPORT #: 2134265-2011-00089. IT WAS REPORTED THAT DURING A PERCUTANEOUS CORONARY INTERVENTION, A BALLOON RUPTURE OCCURRED. ACCESS WAS OBTAINED VIA THE RIGHT RADIAL ARTERY. THE 90% STENOSED ECCENTRIC DE NOVO LESION MEASURING 2.25-2.75MM IN DIAMETER AND APPROXIMATELY 10MM IN LENGTH WAS LOCATED IN A MODERATELY CALCIFIED AND SEVERELY TORTUOUS DISTAL LEFT CIRCUMFLEX ARTERY THAT CONTAINED A BEND OF APPROXIMATELY 90 DEGREES. A 2.25X12MM MAVERICK2 BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 8 ATMS. THE BALLOON RUPTURED ON THE FIRST INFLATION. ANOTHER MAVERICK2 BALLOON WAS ADVANCED TO THE LESION AND INFLATED. THE PHYSICIAN THEN ATTEMPTED TO ADVANCE A 2.5X8MM NC QUANTUM APEX BALLOON TO THE LESION BUT WAS HAVING DIFFICULTY. AFTER CROSSING THE LESION WITH A SECOND WIRE, THE 2.5X8MM NC QUANTUM APEX BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 10 ATMS WHEN IT RUPTURED. ANOTHER NC QUANTUM APEX BALLOON WAS ADVANCED TO THE LESION AND INFLATED TO 6 ATMS AND 8 ATMS A TOTAL OF 4 TIMES TO COMPLETE PREDILATION OF THE LESION. SOME RESIDUAL STENOSIS WAS NOTED. DUE TO THE TORTUOUSITY OF THE LESION, THE PHYSICIAN ELECTED TO COMPLETE THE CASE AT THIS TIME. NO PATIENT COMPLICATIONS OCCURRED. PATIENT STATUS IS LISTED AS GOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MAVERICK2 BALLOON CATHETER CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS LOX BOSTON SCIENTIFIC - MAPLE GROVE H7493892812220

Patients

Seq Age Sex Outcome Treatment
1 NEOS RENATO GUIDE WIRE| SEANMAN INFLATION DEVICE| 2.50X8MM NC QUANTUM APEX BALLOON| 2.0X12MM MAVERICK2 BALLOON| BRITE TIP 6F XB3.5 GUIDE CATHETER