Model Number 5MAXJET7KIT-B |
Device Problems
Break (1069); Fluid/Blood Leak (1250)
|
Patient Problems
No Consequences Or Impact To Patient (2199); No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 10/18/2020 |
Event Type
malfunction
|
Manufacturer Narrative
|
Results: the jet7 was fractured approximately 1.0 cm from the hub.Conclusions: evaluation of the returned jet7 revealed a fracture underneath the strain relief.If the jet7 is forcefully manipulated at extreme angles during use, damage such this may occur.During functional testing, the jet7 was flushed with air while submerged in the bleach solution, and bubbles were observed coming from the fractured location underneath the strain relief.Penumbra catheters are visually 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.This report is associated with mfr report numbers: 3005168196-2020-02006, 3005168196-2020-02008.
|
|
Event Description
|
The patient was undergoing a thrombectomy procedure using a penumbra system jet 7 reperfusion catheter (jet7) and a neuron max 6f 088 long sheath (neuron max).It was noted that the patient's anatomy was tortuous.During the procedure, the physician noticed the jet7 was leaking just beyond the hub while in use in the patient.Therefore, the jet7 was removed.Another jet7 was used to continue the procedure; however, the same issue occurred.It was also reported that while the neuron max was still inside the patient, the physician noticed that it was kinked; the neuron max was also removed.The procedure was completed using a penumbra system ace 68 reperfusion catheter (ace68) and another neuron max.There was no report of an adverse effect to the patient.
|
|
Manufacturer Narrative
|
Please note that the following section was incorrectly reported on the initial mfr report and is being corrected on this follow-up #01 mfr report.1.Section b.Box 5.Describe event or problem this report is associated with mfr report numbers: 1.3005168196-2020-02006 2.3005168196-2020-02008 h3 other text : placeholder.
|
|
Event Description
|
The patient was undergoing a thrombectomy procedure in the internal carotid artery (ica) using penumbra system jet 7 reperfusion catheters (jet7)s and a neuron max 6f 088 long sheath (neuron max).It was noted that the patient''s anatomy was tortuous.During the procedure, the physician noticed the jet7 was leaking just beyond the hub on the back table.Therefore, the jet7 was not used in the procedure.Another jet7 was used to continue the procedure; however, the same issue occurred.It was also reported that while the neuron max was still inside the patient, the physician noticed that it was kinked; the neuron max was also removed.The procedure was completed using a penumbra system ace 68 reperfusion catheter (ace68) and another neuron max.There was no report of an adverse effect to the patient.
|
|
Search Alerts/Recalls
|