MAUDE Adverse Event Report: STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY FLOWGATE2 8F X 85CM; CATHETER, PERCUTANEOUS

Catalog Number 90485

Device Problem Deflation Problem (1149)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Date 07/31/2023

Event Type  malfunction  

Manufacturer Narrative

H3 other text : the device is not available to the manufacturer.

Event Description

It was reported that during the thrombectomy procedure for a cerebral infarction of left internal carotid artery the subject balloon device was inflated and the thrombectomy was performed.Following this the physician attempted to deflate the subject balloon device but it would not deflate.The subject balloon device was withdrawn to the aortic arch where deflation of the subject balloon device was successfully completed.The procedure was completed successfully.No clinical consequences were reported to the patient due to this event.

Event Description

It was reported that during the thrombectomy procedure for a cerebral infarction of left internal carotid artery the subject balloon device was inflated and the thrombectomy was performed.Following this the physician attempted to deflate the subject balloon device but it would not deflate.The subject balloon device was withdrawn to the aortic arch where deflation of the subject balloon device was successfully completed.The procedure was completed successfully.No clinical consequences were reported to the patient due to this event.

Manufacturer Narrative

There are controls in the manufacturing process to ensure the product met specifications upon release.The device was returned, and reported lot number was not confirmed as the packaging was not returned with the device.During visual inspection, distal part of the balloon catheter was found to be flattened/crushed.The tip of the balloon catheter was found to be damaged.During functional inspection, the balloon could not be inflated due to damage to the device.The reported event is covered in the device directions for use (dfu).As well, the risk of the reported event is documented in the risk documentation and there are current controls to mitigate the risk of the as reported event.The reported complaint was confirmed based on analysis.The device failed to meet specifications when received for complaint investigation based on the analyzed anomalies noted to the device.Additional information received indicated that the device was prepared for use as per the directions for use.There was no damage noted to the packaging prior to opening the packaging and the device was confirmed to be in good condition during preparation/prior to use on the patient.Continuous flush was set up and maintained throughout the clinical procedure and the patients anatomy was described as 'severely tortuous'.During inspection the catheter shaft (distal section) was noted to be damaged (flattened/crushed).The distal tip of the balloon catheter was also damaged.It was not possible to inflate the balloon due to the condition of the returned device.The as reported event of balloon difficult/unable to deflate during use and the as analysed events of balloon failed to inflate, balloon catheter tip damaged and balloon catheter flat/crushed will be assigned procedural factors as this complaint appears to be associated with a product that met stryker design and manufacturing specifications and was used in accordance with the dfu, but performance was limited due to procedural and/or anatomical factors during use.

• Brand Name: FLOWGATE2 8F X 85CM
• Type of Device: CATHETER, PERCUTANEOUS
• Manufacturer (Section D): STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY; 4870 west 2100 south; salt lake city UT 84120
• Manufacturer (Section G): STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY; 4870 west 2100 south; salt lake city UT 84120
• Manufacturer Contact: tara lopez ; 47900 bayside parkway; fremont, CA 94538 ; 5104132500
• MDR Report Key: 17573799
• MDR Text Key: 321474272
• Report Number: 3012931345-2023-00192
• Device Sequence Number: 1
• Product Code: DQY
• UDI-Device Identifier: 00815742004854
• UDI-Public: 00815742004854
• Combination Product (y/n): N
• Reporter Country Code: JA
• PMA/PMN Number: K131492
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Health Professional
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 10/23/2023

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Catalogue Number: 90485
• Device Lot Number: 146064
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Initial Date Manufacturer Received: 08/01/2023
• Initial Date FDA Received: 08/18/2023
• Supplement Dates Manufacturer Received: 10/11/2023
• Supplement Dates FDA Received: 10/23/2023
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 06/21/2022
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Sex: Prefer Not To Disclose