inforMED
InjuryMAL

HEMASHIELD PLATINUM WOVEN STRAIGHT

Received Apr 17, 2025 · Event occurred Mar 20, 2025

Report 2242352-2025-00460 · MDR key 21862556

Device

Generic name

Graft, Vascular, Synthetic/biologic Composite

Manufacturer

Intervascular Sas

Model number

M00202175208P0

Catalog number

M00202175208P0

Lot number

24G10

Product problems

  • Off-Label Use
  • Off-Label Use

Patient

NA · Unknown

  • Hemorrhage/Blood Loss/Bleeding
  • Hemorrhage/Blood Loss/Bleeding

Narrative

Additional Manufacturer Narrative

(11/213) THE SIMILAR RETENTION SAMPLE FROM THE SAME STERILIZATION LOT AND SELECTED BASED ON THE SAME COATING PARAMETERS AND SAME TEXTILE PARAMETERS AS THE INVOLVED DEVICE WAS VISUALLY INSPECTED BY THE QUALITY CONTROL TECHNICIAN AND THE MANUFACTURING SUPERVISOR. THE ANALYSIS CONCLUDED THAT THE SAMPLE IS IN COMPLIANCE WITH THE PRODUCT SPECIFICATIONS. THE RETENTION SAMPLE ALSO UNDERWENT WATER PERMEABILITY TESTING. THE TEST RESULT INDICATED A VALUE OF 0.05 ML/CM²/MIN WHICH IS WITHIN PRODUCT SPECIFICATIONS (< 5 ML/CM²/MIN). (11) THE CONCLUSION OF THE INVESTIGATION IS STILL ONGOING. A FOLLOW UP REPORT WILL SUBSEQUENTLY BE SENT.

Description of Event or Problem

COMPLAINT # (B)(4).

Additional Manufacturer Narrative

(4114) BASED ON THE INITIAL INFORMATION RECEIVED IT IS UNKNOW IF THE PRODUCT IS AVAILABLE FOR ANALYSIS. ATTEMPTS TO OBTAIN MORE INFORMATION ABOUT THE PRODUCT AND THE ADVERSE EVENT AREONGOING. (4109/213) THE REVIEW OF HISTORICAL DATA INDICATED THAT NO OTHER COMPLAINT WAS REPORTED FOR THE SAME STERILIZATION LOT NUMBER 24G10. (4121/213) THE DEVICE HISTORY RECORDS REVIEW CONCLUDED THAT THERE WAS NO NON-CONFORMANCE IN RELATION WITH THE EVENT REPORTED. (11/3233) ONE SIMILAR RETENTION SAMPLE FROM SAME STERILIZATION LOT NUMBER WAS SELECTED BASED ON THE SAME COATING PARAMETERS AND SAME TEXTILE PARAMETERS AS THE INVOLVED DEVICE. ANALYSIS IN ONGOING. (11) THE INVESTIGATION IS STILL ONGOING. A FOLLOW-UP REPORT WILL BE SENT UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem

IT AS REPORTED TO INTERVASCULAR THAT DURING A SURGERY AN AXILLARY CANNULATION WAS PERFORMED ON THE PATIENT USING THE HEMASHIELD PLATINUM GRAFT AND THERE WAS EXCESSIVE BLOOD LEAKAGE COMING FROM THE GRAFT. IN ADDITION, A VIDEO OF THE EVENT WAS PROVIDED. COMPLAINT #(B)(4).

Additional Manufacturer Narrative

(4114) THE INVOLVED DEVICE WAS NOT RETURNED DESPITE REQUESTS FROM MANUFACTURER. (4112/4248) THE CASE AND ITS INVESTIGATION HAVE BEEN REVIEWED BY THE MEDICAL AFFAIRS DEPARTMENT WHO CONCLUDED THAT: "AS STATED IN THE IFU: USE OF HEMASHIELD WOVEN VASCULAR GRAFTS FOR EXTRACORPOREAL CIRCULATION ARE CONTRAINDICATED. NO INFORMATION WAS PROVIDED REGARDING THE PATIENT'S HISTORY, THE PROCEDURE, OR THE CURRENT STATUS OF THE PATIENT. THE INTERNAL INVESTIGATION OF THE EVENT INCLUDED A REVIEW OF HISTORICAL DATA THAT DID NOT SHOW ANY PREVIOUS COMPLAINTS, DEVICE HISTORY THAT DID NOT PRESENT WITH ANY NONCONFORMANCE, VISUAL INSPECTION AND WATER PERMEABILITY TESTING OF THE RETENTION SAMPLE WITH SIMILAR PARAMETERS TO THE GRAFT IN QUESTION, THAT WAS FOUND TO BE WITHIN SPECIFICATIONS. DUE TO THE LACK OF THE DEVICE FOR ANALYSIS, AS WELL AS THE LACK OF ANY INFORMATION REGARDING THE PROCEDURE OR THE PATIENT, NO CONCLUSION CAN BE MADE REGARDING THE CAUSE OF BLEEDING BEING PRESENTED. USE OF HEMASHIELD WOVEN GRAFTS FOR EXTRACORPOREAL CIRCULATION IS CONTRAINDICATED AS IT CAN PRESENT BLEEDING. IF ADDITIONAL INFORMATION BECOMES AVAILABLE, THIS MEDICAL ASSESSMENT WILL BE UPDATED ACCORDINGLY. (24) BASED ON THE INVESTIGATION AND THE MEDICAL ASSESSMENT, NO CONCLUSION CAN BE DRAWN ON THE CAUSE OF THE REPORTED EVENT DUE TO THE LACK OF INFORMATION REGARDING THE PROCEDURE AND THE PATIENT, AS WELL AS THE LACK OF THE DEVICE FOR ANALYSIS. HOWEVER, THE INVESTIGATION FINDINGS INDICATES THAT THE DEVICE WAS NOT DEFECTIVE AT THE TIME OF MANUFACTURING. FURTHERMORE, THE USE OF HEMASHIELD WOVEN GRAFTS FOR EXTRACORPOREAL CIRCULATION IS CONTRAINDICATED AS IT CAN PRESENT BLEEDING. AS PER PRODUCT IFU, HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFTS ARE INTENDED FOR USE IN THE REPLACEMENT OR REPAIR OF THE THORACIC AORTA, ABDOMINAL AORTA AND PERIPHERAL ARTERIES, WHEN OPEN SURGICAL OPERATION IS REQUIRED. CONTRAINDICATIONS SECTION INDICATES THAT, HEMASHIELD PLATINUM WOVEN DOUBLE VELOUR VASCULAR GRAFTS ARE NOT INTENDED FOR USE AS PERFUSION BRANCH DURING EXTRACORPOREAL CIRCULATION, AS THIS MAY LEAD TO BLEEDING.

Description of Event or Problem

COMPLAINT # (B)(4)