SPECTRANETICS ELCA CORONARY LASER ATHERECTOMY CATHETER 110-004

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-03-08 for SPECTRANETICS ELCA CORONARY LASER ATHERECTOMY CATHETER 110-004 manufactured by The Spectranetics Corporation.

Event Text Entries

[142351545] Patient information was unavailable from the user facility. On 17jan2019: visual and microscopic evaluation of the suspect elca device found that the inner lumen of the device was occluded with tissue. The tissue was cleared out by pushing a guide wire through the device bifurcate. Distal tip of catheter evaluated: laser fibers were chipped at the distal tip of the device and four non-functional fibers present. Excessive degradation was observed at the tip, evidenced by heavy erosion and damage to the outer jacket near the tip. Proximal coupler was evaluated: the proximal end of the catheter where it plugs into the laser system, looked good with a few cracked laser fibers. Additional evaluation completed 14feb2019. During this evaluation a small hole was detected in the working length of the catheter's outer jacket while manipulating the jacket with tweezers under microscope.
Patient Sequence No: 1, Text Type: N, H10


[142351546] A philips representative reported that during a peripheral laser atherectomy procedure the spectranetics coronary laser atherectomy catheter (elca) would not lase as expected. A second elca catheter was used to complete the case with no reported patient harm. The device was returned and evaluated. During evaluation it was detected that the device outer jacket was damaged in such a way that an accidental laser radiation occurrence is possible. This event is being reported due to the potential for exposure to manufacturing materials as well as inadvertent exposure to laser energy/radiation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1721279-2019-00034
MDR Report Key8406045
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-03-08
Date of Report2018-12-28
Date of Event2018-12-21
Report Date2005-01-01
Date Reported to FDA2005-01-01
Date Reported to Mfgr2005-01-10
Date Mfgr Received2019-02-14
Device Manufacturer Date2018-03-22
Date Added to Maude2019-03-08
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMISS CATHERINE EATON
Manufacturer Street9965 FEDERAL DRIVE
Manufacturer CityCOLORADO SPRINGS CO 80921
Manufacturer CountryUS
Manufacturer Postal80921
Manufacturer Phone719447-246
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSPECTRANETICS ELCA CORONARY LASER ATHERECTOMY CATHETER
Generic NameELCA
Product CodeLPC
Date Received2019-03-08
Returned To Mfg2019-01-15
Model Number110-004
Catalog Number110-004
Lot NumberFG018C22A
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerTHE SPECTRANETICS CORPORATION
Manufacturer Address9965 FEDERAL DRIVE COLORADO SPRINGS CO 80921 US 80921


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-03-08

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