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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY TREVO PRO 14 MICROCATHETER 157CM; CATHETER, INTRAVASCULAR, DIAGNOSTIC

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STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY TREVO PRO 14 MICROCATHETER 157CM; CATHETER, INTRAVASCULAR, DIAGNOSTIC Back to Search Results
Catalog Number 90231
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Stroke/CVA (1770); Hematoma (1884); Vasoconstriction (2126); Perforation of Vessels (2135); Rupture (2208); Obstruction/Occlusion (2422); Thromboembolism (2654); Vascular Dissection (3160)
Event Date 11/04/2021
Event Type  Injury  
Manufacturer Narrative
This is the 4th of 6 records.The subject device not returned.
 
Event Description
57 endovascular neurosurgeons, 78 interventional cardiologists, 6 interventional neurologists, 9 interventional neuroradiologists, and 36 interventional radiologists participated in the post-market clinical follow-up (pmcf) anonymous survey for subject trevo pro 14 microcatheter.The survey was conducted in (b)(6) and united states.During the survey hemorrhagic complication, re-occlusion, vessel dissection, clot embolization, neurological deficits, aneurysm recurrence, vessel perforation, stroke/tia, vasospasm, and groin hematoma were reported.No other information is available about this event.
 
Manufacturer Narrative
Although the dhr could not be reviewed because the lot number remains unknown, there are controls in the manufacturing process to ensure the product met specifications upon release.Visual and functional testing could not be performed since the product was not returned as this complaint refers to a pmcf survey.The reported events are covered in the device directions for use (dfu).As well, the risk of the reported events are documented in the risk documentation and there are current controls to mitigate the risk of the as reported event.While there are a number of potential causes for the reported issues, because review and analysis of available information failed to identify a definitive cause, a cause of undeterminable was assigned.
 
Event Description
57 endovascular neurosurgeons, 78 interventional cardiologists, 6 interventional neurologists, 9 interventional neuroradiologists, and 36 interventional radiologists participated in the post-market clinical follow-up (pmcf) anonymous survey for subject trevo pro 14 microcatheter.The survey was conducted in australia, france, germany, italy, japan, spain, united kingdom and united states.During the survey hemorrhagic complication, re-occlusion, vessel dissection, clot embolization, neurological deficits, aneurysm recurrence, vessel perforation, stroke/tia, vasospasm, and groin hematoma were reported.No other information is available about this event.
 
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Brand Name
TREVO PRO 14 MICROCATHETER 157CM
Type of Device
CATHETER, INTRAVASCULAR, DIAGNOSTIC
Manufacturer (Section D)
STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY
4870 west 2100 south
salt lake city UT 84120
Manufacturer (Section G)
STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY
4870 west 2100 south
salt lake city UT 84120
Manufacturer Contact
tara lopez
47900 bayside parkway
fremont, CA 94538
5104132500
MDR Report Key12838996
MDR Text Key280998907
Report Number3012931345-2021-00192
Device Sequence Number1
Product Code DQO
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
K131437
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 02/24/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/18/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Device Catalogue Number90231
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received02/12/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Other;
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