It was reported during a treatment of a basilar apex aneurysm with a web device, placement was difficult and during multiple repositioning attempts, the aneurysm was ruptured.The aneurysm was measured, and a 8x3 web device was chosen.The device was deployed and encroached on the right pca.The 8x3 web device was removed and a 7x3 web device was selected.The web device was deployed and encroached on the right pca.The device was removed and an angled via 17 device was positioned within the aneurysm.The same web device was then attempted to be deployed for the second time, however the device was still encroaching on right pca.Both the web and via devices were removed and a different angle catheter (90 angle) was chosen to get a better position within the aneurysm.The same web was repositioned a third time, when the aneurysm ruptured.The web was left in place to assist tamponade.The physician inserted a balloon to assist in controlling the bleed.The bleed was controlled with coiling and detachment of the web.Additional information received indicated that the web was fully deployed outside the catheter during the aneurysm rupture.The patient's current status is unknown.
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A search for non-conformances 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 device was not returned to the manufacturer for analysis; therefore, the alleged product issue cannot be confirmed.If the device or additional information is received, microvention, inc., will submit a supplemental mdr report.
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