FDA Adverse Event Malfunction Summary report: N

SMALL PERIPHERAL CUTTING BALLOON?

MDR report key: 4131652 · Received October 1, 2014

Report

Report Number
2134265-2014-05858
Event Type
Malfunction
Date Received
October 1, 2014
Date of Event
September 8, 2014
Report Date
September 8, 2014
Manufacturer
BOSTON SCIENTIFIC - GALWAY
Product Code
LOX
PMA / PMN Number
P950020
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

AGE AT TIME OF EVENT: 18 YEARS OR OLDER. (B)(4).

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MFR.; THE COMPLAINT DEVICE WAS RETURNED FOR ANALYSIS. THE BALLOON PROTECTOR WAS RETURNED OVER THE DETACHED BALLOON. THERE WAS NO DAMAGE NOTED TO THE BALLOON PROTECTOR. THE RETURNED BALLOON PROTECTOR INNER DIMENSION WAS MEASURED AND WAS WITHIN SPECIFICATION. THE INNER LUMEN HAD DETACHED AT THE DISTAL TIP/BALLOON BOND. THE OUTER LUMEN HAD DETACHED AT THE PROXIMAL BALLOON BOND. THIS RESULTED IN A COMPLETE DETACHMENT OF THE BALLOON FROM THE DELIVERY SYSTEM. THE DISTAL TIP/BALLOON BOND LENGTH AND THE PROXIMAL BALLOON BOND WERE MEASURED ARE WERE FOUND TO BE WITHIN SPECIFICATION. THE MARKERBANDS REMAINED ON THE DISTAL SECTION OF THE INNER LUMEN. NO DAMAGE WAS NOTED TO THE CATHETER SHAFT. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE MOST PROBABLE ROOT CAUSE IS CONSIDERED HANDLING DAMAGE AS THE EVENT OCCURRED PRIOR TO PATIENT CONTACT. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT BALLOON DETACHMENT OCCURRED DURING PREPARATION. A 4.00MM/1.5CM/140CM SMALL PERIPHERAL CUTTING BALLOON¿ BALLOON CATHETER WAS SELECTED TO TREAT THE LESION. DURING PREPARATION, PHYSICIAN ATTACHED AN INFLATION DEVICE/SYRINGE TO THE CATHETER AND DRAW BACK TO ITS FULL VOLUME DEFLATING THE BALLOON TO REMOVE ALL AIR FROM THE BALLOON PRIOR TO BALLOON PROTECTOR REMOVAL HOWEVER, BALLOON CAME OFF TOGETHER WITH THE PROTECTOR OUTSIDE THE PATIENT'S BODY. TWO BALLOON MARKERS HAD BEEN REMAINED ON THE SHAFT AND STRONG RESISTANCE WAS ENCOUNTERED WHEN REMOVING THE PROTECTOR. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THE PROTECTOR OF THE SECOND DEVICE WAS ABLE TO BE REMOVED WITHOUT ISSUE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AND THE PATIENT WAS GOOD.

Description of Event or Problem · 1

IT WAS REPORTED THAT BALLOON DETACHMENT OCCURRED DURING PREPARATION. A 4.00MM/1.5CM/140CM SMALL PERIPHERAL CUTTING BALLOON¿ BALLOON CATHETER WAS SELECTED TO TREAT THE LESION. DURING PREPARATION, PHYSICIAN ATTACHED AN INFLATION DEVICE/SYRINGE TO THE CATHETER AND DRAW BACK TO ITS FULL VOLUME DEFLATING THE BALLOON TO REMOVE ALL AIR FROM THE BALLOON PRIOR TO BALLOON PROTECTOR REMOVAL HOWEVER, BALLOON CAME OFF TOGETHER WITH THE PROTECTOR OUTSIDE THE PATIENT'S BODY. TWO BALLOON MARKERS HAD BEEN REMAINED ON THE SHAFT AND STRONG RESISTANCE WAS ENCOUNTERED WHEN REMOVING THE PROTECTOR. THE PROCEDURE WAS COMPLETED WITH ANOTHER OF THE SAME DEVICE. THE PROTECTOR OF THE SECOND DEVICE WAS ABLE TO BE REMOVED WITHOUT ISSUE. THERE WERE NO PATIENT COMPLICATIONS REPORTED AND THE PATIENT WAS GOOD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
613113 SMALL PERIPHERAL CUTTING BALLOON? CATHETERS, TRANSLUMINAL CORONARY ANGIOPLASTY, PERCUTANEOUS LOX BOSTON SCIENTIFIC - GALWAY M001BPM4015140F0 16946733

Patients

Seq Age Sex Outcome Treatment
1 GUIDEWIRE:CRUISE| INFLATION DEVICE:EVEREST| INTRODUCER SHEATH:TERUMO 6FR