|
Model Number 190-5091-150 |
Device Problem
Device Dislodged or Dislocated (2923)
|
Patient Problems
No Known Impact Or Consequence To Patient (2692); No Clinical Signs, Symptoms or Conditions (4582)
|
Event Date 10/30/2020 |
Event Type
malfunction
|
Manufacturer Narrative
|
If information is provided in the future, a supplemental report will be issued.
|
|
Event Description
|
Medtronic received a report that the first echelon microcatheter (lot#: a968174) was delivered, but the axium coil experienced resistance in the proximal segment of the microcatheter.A second echelon microcatheter (lot #: a975858) was used, but it was found there was no mark point when filling the detachable coil.It was indicated that all devices were prepared as per the instructions for use (ifu), and no patient symptoms or further complications were reported as a result of this event.The patient was undergoing surgery for aneurysm embolization, and it was noted the patient's vessel tortuosity was normal.Ancillary devices include an envoy 6f guide catheter.
|
|
Event Description
|
Additional information received reported that the patient was being treated for an aneurysm located in the right ocular artery.The aneurysm size was 4.4*3.6*3.2, and the patient's vessel tortuosity was normal.A continuous flush had been administered.The coil and catheter were replaced, and the procedure was completed successfully.
|
|
Manufacturer Narrative
|
Medtronic is submitting this report to comply with fda reporting regulations under 21 cfr parts 4 and 803.This report is based upon information obtained by medtronic, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Medtronic has made reasonable efforts to obtain more complete information and has provided as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.In particular, this report does not constitute an admission by anyone that the product described in this report has any ¿defects¿ or has ¿malfunctioned¿.These words are included in the fda 3500a form and are fixed items for selection created by the fda to categorize the type of event solely for the purpose of regulatory reporting.Medtronic objects to the use of these words and others like them because of the lack of definition and the connotations implied by these terms.This statement should be included with any information or report disclosed to the public under the freedom of information act.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.A good faith effort will be made to obtain the applicable information relevant to the report.If information is provided in the future, a supplemental report will be issued.
|
|
Search Alerts/Recalls
|
|
|