The patient was undergoing a thrombectomy procedure using a penumbra system jet 7 reperfusion catheter (jet7).During the procedure, after loading the jet7 onto the wire, the tech noticed flush was coming out from the hub of the jet7 and the jet7 was broken at the hub.Therefore, the jet7 was removed.The procedure was completed using a new jet7.There was no report of an adverse effect to the patient.
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Evaluation of the returned jet7 confirmed a fracture near the hub beneath the strain relief.If the device is mishandled at extreme angles during use, damage such as this may occur.While flushing the jet7 during decontamination, the decontamination solution was observed exiting the catheter from beneath the strain relief.The device was flushed with air while submerged in the bleach solution, and bubbles were observed.Penumbra 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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