FDA Adverse Event Injury Summary report: N

CELT ACD PLUS VASCULAR CLOSURE DEVICE

MDR report key: 22068514 · Received May 22, 2025

Report

Report Number
3009984513-2025-00006
Event Type
Injury
Date Received
May 22, 2025
Date of Event
April 25, 2025
Report Date
June 12, 2025
Manufacturer
VASORUM LTD.
Product Code
MGB
UDI-DI
05391530280679
PMA / PMN Number
P150006
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MS, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

DURING PROCESSING OF THIS COMPLAINT, ATTEMPTS WERE MADE TO OBTAIN COMPLETE EVENT, PATIENT AND DEVICE INFORMATION. A SEARCH OF THE COMPLAINT FILES DID NOT FIND ANY OTHER REPORT WITH THE LOT NUMBER (943286). THE DEVICE WAS NOT RETURNED TO VASORUM LTD. FOR EXAMINATION. ALL AVAILABLE INFORMATION HAS BEEN PLACED ON FILE IN THE CUSTOMER COMPLAINT FILES OF VASORUM LTD FOR APPROPRIATE TRACKING, TRENDING AND FOLLOW-UP. NO CORRECTIVE/PREVENTATIVE ACTIONS WILL BE TAKEN AT THIS TIME. THIS REPORT IS THE INTIAL REPORT BEING SUBMITTED BY VASORUM LTD.

Additional Manufacturer Narrative · 0

DURING PROCESSING OF THIS COMPLAINT, ATTEMPTS WERE MADE TO OBTAIN COMPLETE EVENT, PATIENT AND DEVICE INFORMATION. A SEARCH OF THE COMPLAINT FILES DID NOT FIND ANY OTHER REPORT WITH THE LOT NUMBER (943286). THE DEVICE WAS NOT RETURNED TO VASORUM LTD. FOR EXAMINATION. ALL AVAILABLE INFORMATION HAS BEEN PLACED ON FILE IN THE CUSTOMER COMPLAINT FILES OF VASORUM LTD FOR APPROPRIATE TRACKING, TRENDING AND FOLLOW-UP. NO CORRECTIVE/PREVENTATIVE ACTIONS WILL BE TAKEN AT THIS TIME. THIS REPORT IS THE FINAL REPORT BEING SUBMITTED BY VASORUM LTD.

Description of Event or Problem · 0

IT WAS REPORTED THAT PHYSICIAN USED A 7F CELT ACD PLUS DEVICE TO CLOSE AN 8F ARTERIOTOMY AFTER A 4-HOUR CORONARY CTO PROCEDURE. THE DEVICE WAS RETRACTED TO WHAT WAS THOUGHT TO BE THE ARTERIOTOMY AFTER THE DISTAL WING WAS DEPLOYED. UPON RAISING TO 90 DEGREES THE BLOOD SIGNAL DID NOT COMPLETELY STOP SO PHYSICIAN MADE MULTIPLE ATTEMPTS TO RETRACT FURTHER AND ELEVATE AGAIN. THE BLOOD SIGNAL APPEARED TO STOP. UPON DEPLOYMENT OF THE PROXIMAL WING THE DEVICE APPEARED TO JUMP UPWARD SLIGHTLY. IMPLANT WAS EJECTED, BLEEDING WAS NOTED AND MANUAL COMPRESSION WAS USED TO ACHIEVE HEMOSTASIS FOR APPROXIMATELY 1 HOUR. THE PHYSICIAN ELECTED TO GIVE A BLOOD TRANSFUSION SINCE THE PATIENT WAS BECOMING HYPOTENSIVE, AND THE PATIENT WAS THEN REASSESSED AND AN ATTEMPT TO ACHIEVE HAEMOSTATIC CONTROL WITH AN ANGIOPLASTY BALLOON WAS NOT SUCCESSFUL. PATIENT WAS THEN BROUGHT TO SURGERY TO REPAIR THE ARTERIOTOMY. PATIENT WAS REPORTED TO BE OK AND SURGERY SUCCESSFUL.

Description of Event or Problem · 0

IT WAS REPORTED THAT PHYSICIAN USED A 7F CELT ACD PLUS DEVICE TO CLOSE AN 8F ARTERIOTOMY AFTER A 4-HOUR CORONARY CTO PROCEDURE. THE DEVICE WAS RETRACTED TO WHAT WAS THOUGHT TO BE THE ARTERIOTOMY AFTER THE DISTAL WING WAS DEPLOYED. UPON RAISING TO 90 DEGREES THE BLOOD SIGNAL DID NOT COMPLETELY STOP SO PHYSICIAN MADE MULTIPLE ATTEMPTS TO RETRACT FURTHER AND ELEVATE AGAIN. THE BLOOD SIGNAL APPEARED TO STOP. UPON DEPLOYMENT OF THE PROXIMAL WING THE DEVICE APPEARED TO JUMP UPWARD SLIGHTLY. IMPLANT WAS EJECTED, BLEEDING WAS NOTED AND MANUAL COMPRESSION WAS USED TO ACHIEVE HEMOSTASIS FOR APPROXIMATELY 1 HOUR. THE PHYSICIAN ELECTED TO GIVE A BLOOD TRANSFUSION SINCE THE PATIENT WAS BECOMING HYPOTENSIVE, AND THE PATIENT WAS THEN REASSESSED AND AN ATTEMPT TO ACHIEVE HAEMOSTATIC CONTROL WITH AN ANGIOPLASTY BALLOON WAS NOT SUCCESSFUL. PATIENT WAS THEN BROUGHT TO SURGERY TO REPAIR THE ARTERIOTOMY. PATIENT WAS REPORTED TO BE OK AND SURGERY SUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1220527 CELT ACD PLUS VASCULAR CLOSURE DEVICE VASCULAR CLOSURE DEVICE MGB VASORUM LTD. KCLT-07 943286 05391530280679

Patients

Seq Age Sex Outcome Treatment
1 NA Female Required Intervention| H