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Model Number PAPS3 |
Device Problem
Suction Problem (2170)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/20/2021 |
Event Type
malfunction
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Manufacturer Narrative
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The device has been returned and the investigation results are pending.A follow up mdr will be submitted upon completion of the device investigation.
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Event Description
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The patient was undergoing a thrombectomy procedure in the right m1 segment of the middle cerebral artery (mca) using a penumbra engine canister (canister) and penumbra engine (engine).During the procedure, as the physician was attempting the first pass, they noticed the canister would not build vacuum pressure to aspirate.It was reported that all four indicator lights on the engine were not illuminated.Therefore, the canister was removed.The procedure was completed using a new canister and the same engine.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Evaluation of the returned canister revealed that the lid was not secured properly to the body.During functional testing, the canister was tested on a demonstration engine and was unable to hold vacuum pressure and no vacuum indicator lights illuminated.After securing the canister lid properly, the canister was able to hold vacuum pressure within specification and all four vacuum indicator lights illuminated.The canister lid not being secure to the body likely contributed to the inability to hold vacuum pressure during the procedure and the functional test.The root cause of this issue could not be determined.The supplier performs 100% visual and functional inspection prior to shipping to penumbra.Penumbra performs packaging and label inspection upon receipt prior to shipment to customer.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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Search Alerts/Recalls
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