Catalog Number 5MAXACE068KIT |
Device Problems
Device Damaged Prior to Use (2284); Out-Of-Box Failure (2311); Defective Device (2588)
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Patient Problem
No Patient Involvement (2645)
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Event Date 12/06/2016 |
Event Type
malfunction
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Manufacturer Narrative
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The penumbra system ace 68 reperfusion catheter (ace 68) was kinked approximately 71.0 cm from the hub.Evaluation of the returned device revealed it was kinked.This type of damage typically occurs if the ace 68 is withdrawn from the packaging shell prior to removing the tubing tray.Penumbra coils and catheters are inspected during in-process inspection and during quality inspection after manufacturing.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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Event Description
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During preparation for a thrombectomy procedure, the physician noticed that the braiding at the end of a penumbra system ace 68 reperfusion catheter (ace 68) did not look ¿correct¿ upon removing it from the packaging.The ace 68 was noticed prior to use and therefore, it was not used in the procedure.The procedure was completed using a new kit.
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Search Alerts/Recalls
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