A visual inspection of the device captured in this file could not be performed as a physical device was not returned for evaluation, nor were any images of the device provided in place of a device return.Procedure and medical imaging were not provided for this investigation.Without the return and physical evaluation of the device, the investigation cannot definitively determine if a condition existed that would have caused or contributed to the reported event.Without imaging, the investigation cannot verify the event occurred as described, nor could the investigation definitively determine the cause of the reported event.Based on a review of the device's risk documentation, the reported event did not indicate there were any potential or new manufacturing, design, quality, or other systemic issues, or non-conformance's.The complaint code is monitored through the trending process; corrective action is determined, as needed, through this process.Investigations of historic complaint files with similar complaint category coding are recorded in the complaint handling system; without the ability to perform and analysis of the device, this investigation cannot identify with certainty any potential root causes.A search for non-conformance's associated with this part/lot number combination did not reveal any production-related issues relevant to the complaint that occurred during manufacturing of the device.The instructions for use (ifu) identifies aneurysm rupture as a potential complication associated with the use of the device.
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It was reported that when the physician was treating an aneurysm in the a1, the physician advanced the web device close to the tip of via-17 and the catheter jumped forward and ruptured the aneurysm.They deployed the device and utilized a scepter xc balloon to slow the bleeding.Bp remained stable at 84/49 during rupture.The procedure was successfully completed.Post-procedure, they transfused 6 units of platelets and maintained bp120.The patient was discharged several days later mostly due to underlying early dementia.
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