Catalog Number PMX110 |
Device Problems
Misconnection (1399); Device Handling Problem (3265)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 05/05/2019 |
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 middle cerebral artery (mca) using a penumbra system aspiration pump max 110 (pump max).During the procedure, a penumbra system 3max reperfusion catheter (3maxc) and aspiration tubing (tubing) was accidentally connected directly to the pump max rather than the canister.Consequently, blood was aspirated into the pump max.The physician had a successful recanalization using the same pump max, 3maxc and tubing after a single pass and completed the procedure.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Please note a correction was made to section h3 box 3.Device returned to manufacturer?: corrected from "no" to yes.Results: dried blood was found on the returned pump max housing.Conclusions: evaluation of the returned pump max confirmed blood was aspirated inside the vacuum pump.The reported complaint indicated that the aspiration tubing was directly connected to the pump inlet instead of the canister and blood was aspirated into the pump.If the fluid enters the vacuum pump assembly, the pump may not function properly.Penumbra pumps are visually inspected and functionally tested during incoming quality inspection.The product lot number was not provided, therefore, the manufacturing records could not be reviewed.
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Search Alerts/Recalls
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