FDA Adverse Event Malfunction Summary report: N

ARMADA 35 PTA CATHETER

MDR report key: 3831188 · Received May 23, 2014

Report

Report Number
2024168-2014-03330
Event Type
Malfunction
Date Received
May 23, 2014
Date of Event
April 30, 2014
Report Date
April 30, 2014
Manufacturer
AV-TEMECULA-CT
Product Code
LIT
PMA / PMN Number
K111899
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). CONCOMITANT PRODUCT: SHEATH: COOK 6 FR SHORT. IT IS INDICATED THAT THE DEVICE IS NOT RETURNING FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. A REVIEW OF THE LOT HISTORY RECORD REVEALED NO NON-CONFORMANCES THAT WOULD HAVE CONTRIBUTED TO THE REPORTED EVENT. A QUERY OF THE COMPLAINT HANDLING DATABASE REVEALED NO OTHER INCIDENTS REPORTED FROM THIS LOT. IT SHOULD BE NOTED THAT THE ARMADA 35 INSTRUCTION FOR USE (IFU) STATES: DO NOT ADVANCE THE ARMADA 35 LL PTA CATHETER AGAINST SIGNIFICANT RESISTANCE. THE CAUSE OF RESISTANCE SHOULD BE DETERMINED VIA FLUOROSCOPY AND REMEDIAL ACTION TAKEN. BASED ON THE REVIEWED INFORMATION, NO PRODUCT DEFICIENCY WAS IDENTIFIED. THE ABSOLUTE PRO AND ABSOLUTE PRO LL REFERENCED ARE BEING FILED UNDER A SEPARATE MANUFACTURING REPORT NUMBERS.

Description of Event or Problem · 1

IT WAS REPORTED THAT USING A RIGHT FEMORAL ARTERY CUTDOWN ACCESS APPROACH DURING A PROCEDURE OF THE MODERATELY CALCIFIED, NON-TORTUOUS, DE NOVO, MID POPLITEAL ARTERY, A COMPLETELY OCCLUDED SUPERFICIAL FEMORAL ARTERY (SFA) RETROGRADE LESION WAS OPENED AND A UNSPECIFIED AMPLATZ GUIDE WIRE WAS PLACED IN THE AORTA FOR ANGIOGRAPHY IMAGES. AFTER IMAGING, THE LEFT LEG WAS ACCESSED AND AN UNSPECIFIED DEVICE WAS ADVANCED TO THE RIGHT LEG FOR ADDITIONAL IMAGES OF THE SFA AND POPLITEAL AREAS. TWO 6 X 150 X 135 CM, AND ONE 6 X 80 X 135 CM ABSOLUTE PRO STENTS WERE SUCCESSFULLY IMPLANTED FROM THE RIGHT SFA DOWN TO THE DISTAL SFA BEING OVERLAPPED BY 1 CM EACH. A 6 X 250 X 80 CM ARMADA LL BALLOON DILATATION CATHETER (BDC) WAS ADVANCED RETROGRADE FROM THE CUTDOWN ACCESS FOR POST-DILATATION OF THE SFA STENTS. WHILE ADVANCING THE BDC THROUGH THE NON-ABBOTT SHORT SHEATH THE BDC DID NOT CROSS THROUGH THE STENTS; HIGH FORCE WAS USED AND THE BALLOON WAS ADVANCED ABOUT 5 CM THROUGH THE SHEATH BUT CAUGHT THE DEPLOYED STENTS AND STARTED TO MANGLE THE OVERLAP OF THE DISTAL TWO STENTS. THE BDC WAS SUCCESSFULLY REMOVED. A 6 X 14 MM NON-ABBOTT BDC WAS USED WITH THE NON-ABBOTT SHEATH AND PASSED THROUGH THE SHEATH AND WAS SUCCESSFULLY USED IN THE PROCEDURE WITHOUT REPORTED ISSUE. THERE WAS NO REPORTED CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
308717 ARMADA 35 PTA CATHETER PERIPHERAL DILATATION CATHETER LIT AV-TEMECULA-CT 30513G1

Patients

Seq Age Sex Outcome Treatment
1 CONCOMITANT MEDICAL DEVICES