STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY TREVO XP PROVUE 3MM X 20MM; CATHETER, THROMBUS RETRIEVER
|
Back to Search Results |
|
Model Number 90183 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
|
Patient Problems
Embolus (1830); Intracranial Hemorrhage (1891); Embolism/Embolus (4438)
|
Event Date 08/10/2020 |
Event Type
Injury
|
Manufacturer Narrative
|
Subject device is not available.
|
|
Event Description
|
It was reported that during a thrombectomy procedure in the right distal m1 and m2 vessels, the physician made three successful previous passes using another retriever, subject stent retriever and aspiration catheter.A thrombolysis in cerebral infarction (tici) score of 2a was achieved.During the fourth pass with the subject stent retriever, the clot moved to the right distal m1.Aspiration thrombectomy was performed during the last pass to successfully remove the clot, and the final tici score was 1.The physician reported difficulty deploying the subject stent retriever due to unknown reasons.The patient developed symptomatic sub-arachnoid hemorrhage after the procedure without any related vessel perforation or dissection.24 hours after the procedure, imaging showed intra-cranial hemorrhage.Physician's opinion on what caused the hemorrhage was not provided.Patient condition and medical treatment administered for the hemorrhage is unknown.No further information is available.
|
|
Event Description
|
It was reported that during a thrombectomy procedure in the right distal m1 and m2 vessels, the physician made three successful previous passes using another retriever, subject stent retriever and aspiration catheter.A thrombolysis in cerebral infarction (tici) score of 2a was achieved.During the fourth pass with the subject stent retriever, the clot moved to the right distal m1.Aspiration thrombectomy was performed during the last pass to successfully remove the clot, and the final tici score was 1.The physician reported difficulty deploying the subject stent retriever due to unknown reasons.The patient developed symptomatic sub-arachnoid hemorrhage after the procedure without any related vessel perforation or dissection.24 hours after the procedure, imaging showed intra-cranial hemorrhage.Physician's opinion on what caused the hemorrhage was not provided.Patient condition and medical treatment administered for the hemorrhage is unknown.No further information is available.
|
|
Manufacturer Narrative
|
The device history record (dhr) could not be reviewed because the lot number remains unknown, however, there are controls in the manufacturing process to ensure the product met specifications upon release.The reported complaint could not be confirmed, and it could not be definitively determined if the device failed to meet specifications because the product was not returned.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.Information from the complaint indicated that there was a deployment failure during the procedure, but vessel perforation or vessel dissection related to trevo did not occur.Based on the investigation, it is unclear whether the reported embolization to new territory and intracerebral and subarachnoid hemorrhage 24 hours after the procedure were directly caused by the subject device.While there are a number of potential causes for the reported issue, because review and analysis of available information fails to indicate an assignable cause or probable assignable cause, undeterminable will be assigned to this complaint.
|
|
Search Alerts/Recalls
|
|
|