Model Number 45-751632 |
Device Problem
Detachment of Device or Device Component (2907)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 10/27/2021 |
Event Type
malfunction
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Manufacturer Narrative
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A search for non-conformances associated with this part/lot number combination did not reveal any production-related issues relevant to the complaint that occurred during manufacturing of the device.The device was not returned to the manufacturer for analysis; therefore, the alleged product issue cannot be confirmed.If it is received at a later date, an investigation will be conducted and a supplemental report will be filed.The instructions for use (ifu) identifies premature coil detachment as a potential complication associated with use of the device.
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Event Description
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It was reported that the physician was performing an ovarian vein embolization and when an embolization coil implant was being removed from its packaging, it was noticed that the delivery pusher was already kinked.The pusher was straightened and used.The implant detached from the delivery pusher in the microcatheter.There was no reported pateint injury or intervention.
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Manufacturer Narrative
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The investigation of the returned coil system found the implant stretched at proximal and to be separated from the pusher.No indication using a detachment controller was found on the pusher's heater coil.The investigation found the pusher's monofilament with a stretched tail/tensile break shape at the tip which is consistent with the device experiencing excessive force that exceeded the strength of the monofilament causing the implant to separate from the pusher.The physical evaluation of the device could not identify the conditions or circumstances that led to the damage, but the damage is consistent with the device experiencing forces over specification.
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Search Alerts/Recalls
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