Model Number PNML6F088904-R |
Device Problem
Physical Resistance/Sticking (4012)
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Patient Problem
No Clinical Signs, Symptoms or Conditions (4582)
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Event Date 04/11/2021 |
Event Type
malfunction
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Manufacturer Narrative
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This device is available for return.A follow up mdr will be submitted upon completion of the device investigation.This report is associated with mfr report number: 3005168196-2021-00986.
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Event Description
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The patient was undergoing a thrombectomy procedure in the m1 of the middle cerebral artery (mca) using a penumbra system jetd reperfusion catheter (jetd) and a neuron max 6f 088 long sheath (neuron max).During the procedure, the physician completed a pass using a jetd and a neuron max.Upon attempting to remove the jetd, the physician noticed that the jetd was stuck inside the neuron max.Therefore, the physician removed the jetd and neuron max together.Afterwards on the back table, the physician attempted to remove the jetd from the neuron max forcefully but was unsuccessful.Consequently, the jetd became stretched during the attempt to remove it from the neuron max.The procedure was completed using a new jetd and a new neuron max.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Evaluation of the returned jetd confirmed that the catheter was stretched.Further evaluation revealed that the catheter was fractured.If the jetd is forcefully retracted against resistance, damage such as stretching and a subsequent fracture may occur.This damage likely occurred during the forceful attempt to remove the jetd from the neuron max outside of the patient as mentioned in the complaint.Evaluation of the returned neuron max revealed that the catheter was kinked and ovalized.The root cause of the kink and ovalization could not be determined; however, this damage likely contributed to the resistance encountered during the removal of the jetd from the neuron max.During the functional test, a stainless-steel mandrel was unable to be advance through the hub and distal end of the neuron max due to blockage inside the lumen.Penumbra devices are visually inspected during in-process inspection and during quality inspection after manufacturing.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.This report is associated with mfr report number: 3005168196-2021-00986.H3 other text : placeholder.
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Manufacturer Narrative
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Please note that the following section was incorrectly reported on the initial mfr report and is being corrected on this follow-up #02 mfr report:.1.Section g.Box 3.Report source.This report is associated with mfr report number: 3005168196-2021-00986 h3 other text : placeholder.
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Search Alerts/Recalls
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