| Date Initiated by Firm | December 11, 2024 |
| Date Posted | February 07, 2025 |
| Recall Status1 |
Open3, Classified |
| Recall Number | Z-1121-2025 |
| Recall Event ID |
96114 |
| PMA Number | P170013 |
| Product Classification |
Intracranial coil-assist stent - Product Code QCA
|
| Product | MicoVention Terumo, LVIS Intraluminal Support Device, REF: 213522-CAS, od, 3.5 mm, TL 22 mm, WL 18 mm, Sterile R, CE0297.
The intended purpose of the LVIS Device is to serve as a stent-assisted coiling (SAC) device providing support to the embolic coils used in the treatment of wide-necked aneurysms. |
| Code Information |
Lot number: 0000456768 |
Recalling Firm/ Manufacturer |
MICROVENTION INC. 35 Enterprise Aliso Viejo CA 92656
|
| For Additional Information Contact | Terrence Callahan 714-247-8159 |
Manufacturer Reason for Recall | Potential for Polytetrafluoethylene (PTFE) material encasing the stent loop may prevent the stent from being pushed out of the introducer. |
FDA Determined Cause 2 | Nonconforming Material/Component |
| Action | On December 11, 2024, MicroVention Europe SARL aka Terumo Neuro issued a "Urgent Medical Device Recall" Notification to affected consignees via mail. Terumo Neuro asked consignees to take the following actions:
1. Review Inventory; 2. Inform and Forward Recall Notice; 3. Return Product; 4. Please complete and return the "Customer Acknowledgment Form"; 4. Contact Quality Department ; 5. Replacement or Credit of Returned Devices |
| Quantity in Commerce | 11 units |
| Distribution | US: None
OUS: China |
| Total Product Life Cycle | TPLC Device Report |
|
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls. 2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall. 3 The manufacturer has initiated the recall and not all products have been corrected or removed. This record will be updated as the status changes.
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| PMA Database | PMAs with Product Code = QCA
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