inforMED
InjuryMAF

GRAFTMASTER

Received Dec 20, 2024 · Event occurred Nov 26, 2024

Report 2024168-2024-15151 · MDR key 20988829

Device

Generic name

Coronary Stent Delivery System

Model number

1012583-19

Catalog number

1012583-19

Lot number

3102541

Product problems

  • Patient-Device Incompatibility
  • Patient-Device Incompatibility

Patient

82 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED FOR ANALYSIS. PRODUCTION RECORD AND CORRECTIVE AND PREVENTATIVE ACTIONS (CAPA) REVIEWS WERE PERFORMED AND REVEALED NO INDICATION OF A PRODUCT QUALITY ISSUE. ADDITIONALLY, A QUERY OF THE COMPLAINT HANDLING DATABASE FOR THE REPORTED LOT REVEALED THERE IS NO INDICATION OF A LOT SPECIFIC ISSUE. BASED ON THE INFORMATION PROVIDED, A DEFINITIVE CAUSE FOR THE REPORTED ISSUE COULD NOT BE DETERMINED; HOWEVER, THE REPORTED TREATMENT APPEARS TO BE RELATED TO OPERATIONAL CONTEXT OF THE PROCEDURE. BASED ON THE RESULTS OF THE COMPLAINT INVESTIGATION, THERE IS NO INDICATION OF A PRODUCT QUALITY ISSUE WITH RESPECT TO THE DESIGN, MANUFACTURE, OR LABELING OF THE DEVICE.

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT PRESENTED WITH A PERFORATION IN THE RIGHT CORONARY ARTERY. A 4.5X19MM GRAFTMASTER COVERED STENT WAS DEPLOYED AT 16 ATMOSPHERES, BUT THE PERFORATION WAS NOT SEALED. UNKNOWN INTERVENTION WAS PERFORMED TO TREAT THE PERFORATION. THERE WAS NO REPORTED ADVERSE PATIENT SEQUELA. NO ADDITIONAL INFORMATION WAS PROVIDED.

Additional Manufacturer Narrative

MANUFACTURER'S INVESTIGATION IS STILL PENDING AT THIS TIME. RESULTS AND CONCLUSIONS WILL BE PROVIDED IN THE FINAL REPORT.