FMEA: Failure Mode Effects Analysis for a Distal Embolic Filter for

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FMEA: Failure Mode Effects Analysis for a Distal Embolic

Filter for Carotid Angioplasty and Stenting

Chenara Johnson, Daphne Kontos,

Sandeep Devabhakthuni, Perry Tiberio

Function or

Component

Failure

Mode

Effect on

System

Possible Hazards

Risk

Index

Nitinol Ring

Incorrect diameter for the ring

Inability to successfully remove filter due to embedding within the arterial walls.

Failure to catch all embolic particles

Pore size of filter

Pore size is insufficient in complying with size of embolic particles

Small embolic particles pass through filter to the brain

If dissection is severe enough it could cause internal bleeding.

Embolic particles could flow to the brain causing ischemic stroke.

Particles that are not caught by filter cause ischemic stroke and thromboembolism.

8

10

User

Detection

Means

Applicable

Control(s)

Detection will be through machines measuring the homeostasis involving the heart rate and brain activity.

Attention to the diameter of filter chosen in regards to the patient and careful implementation of the ring filter into the artery.

Abnormal brain activity.

Low blood flow.

Assure that the pore sizes are small enough to catch all particles that could cause potential harm.

Filter

Retrieval

Catheter

Clotting behind the filter

Unsteadiness of the retrieval catheter

Build up of embolic particles and restricting blood flow

Embolic particles from filter to be released into the arterial system

Loss in blood pressure and blood flow to the brain

Thromboembolism and possible stroke.

12

8

Heart rate and brain activity will provide information as to show that a physiological problem is occurring.

Use a filter material that is able to prevent clotting and build up of embolic material.

Abnormal brain activity.

Low blood flow.

Training and practice prior to the clinical setting

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