The patient was undergoing a thrombectomy procedure in the middle cerebral artery (mca) using a penumbra engine (engine).During the procedure, the physician advanced a penumbra system jet 7 reperfusion catheter (jet7) to nearly the m2 segment of the mca, connected it to the engine and attempted to aspirate the clot; however, the clot was not aspirated.The physician then attempted another pass using the engine with the same jet7; however, the clot was not aspirated.It was reported that not all the engine lights were illuminated despite being troubleshooted by a hospital technologist; therefore, the engine was removed.The procedure was completed using a penumbra system aspiration pump max 110 (pump max) with a non-penumbra stent retriever device and the same jet7.There was no report of an adverse effect to the patient.
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Results: the engine was powered on and able to produce a vacuum pressure of approximately -29.0 inhg.A demonstration canister was seated on the returned engine and was able to hold a vacuum pressure of approximately -28.0 inhg with all four vacuum indicator lights illuminated.Conclusions: evaluation of the returned engine revealed a functional device.The engine was able to produce a vacuum pressure within specification with all four vacuum indicator lights illuminated.The reported complaint was unable to be confirmed.Penumbra engines are inspected at incoming quality control which includes a visual inspection as well as a verification of test results to ensure specifications for each output are met.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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