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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER NEUROVASCULAR-CALIF AXS VECTA 071 CATH 132CM - CE; CATHETER, THROMBUS RETRIEVER

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STRYKER NEUROVASCULAR-CALIF AXS VECTA 071 CATH 132CM - CE; CATHETER, THROMBUS RETRIEVER Back to Search Results
Catalog Number INC-11988-132
Device Problem Fracture (1260)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/05/2024
Event Type  malfunction  
Manufacturer Narrative
Based on the results of the device history record (dhr) review, there is no indication that the device, labeling or packaging failed to meet its specifications when released.During visual/microscopic inspection, the catheter was returned partially stuck inside of a non-stryker catheter.The catheter shaft was seen to be broken/fractured 113 cm from the hub.The catheter shaft was seen to be flat/crushed 3 to 8cm from the catheter tip.The catheter tip was intact.Functional inspection could not be carried out due to the damage noted to the device.The reported event is covered in the device directions for use (dfu).As well, the risk of the reported event is documented in the risk documentation and there are current controls to mitigate the risk of the as reported event.The reported catheter shaft flat/crushed was confirmed during analysis.The reported catheter shaft friction could not be replicated during device analysis; however, the analysis results are consistent with the reported event.The device failed to meet specifications when received for complaint investigation based on the analyzed anomalies noted to the device.The device was returned for analysis.The catheter was returned partially stuck inside of a non-stryker catheter.The catheter shaft was seen to be broken/fractured.The catheter shaft was seen to be flat/crushed.The catheter tip was intact.The as reported events of catheter shaft friction and catheter shaft flat/crushed as well as the as analyzed events of catheter shaft flat/crushed, catheter jammed, catheter shaft broken/fractured during use will be assigned procedural factors as this complaint appears to be associated with a product that met stryker design and manufacturing specifications and was used in accordance with the dfu, but performance was limited due to procedural factors during use.
 
Event Description
The subject catheter was returned for analysis and the device investigation revealed that subject catheter shaft was broken during use.No clinical consequences were reported to the patient due to this event.
 
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Brand Name
AXS VECTA 071 CATH 132CM - CE
Type of Device
CATHETER, THROMBUS RETRIEVER
Manufacturer (Section D)
STRYKER NEUROVASCULAR-CALIF
47900 bayside parkway
fremont CA 94538
Manufacturer (Section G)
STRYKER NEUROVASCULAR-CALIF
47900 bayside parkway
fremont CA 94538
Manufacturer Contact
tara lopez
47900 bayside parkway
fremont, CA 94538
5104132500
MDR Report Key19135072
MDR Text Key341309269
Report Number3008853977-2024-00015
Device Sequence Number1
Product Code NRY
Combination Product (y/n)N
Reporter Country CodeGM
PMA/PMN Number
K172167
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Physician
Type of Report Initial
Report Date 04/18/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received04/18/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Catalogue NumberINC-11988-132
Device Lot Number17482-01
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer02/26/2024
Is the Reporter a Health Professional? Yes
Date Manufacturer Received04/16/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/22/2021
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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