The product was not returned for evaluation.Without the return of the device, the root cause of the problem cannot be determined.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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The patient was undergoing a coil embolization procedure in the internal carotid artery (ica) using a px slim delivery microcatheter (px slim), benchmark bmx96 access system (benchmark max) and a non-penumbra microcatheter.During the procedure, the physician used a dual catheter approach to access the fistula.While trying to advance the 45 degree px slim side by side after placing the microcatheter, the physician encountered resistance when the px slim reached the distal tip of the benchmark max.Subsequently, px slim became kinked approximately 3-5 cm from the distal end; therefore, the px slim was removed.The procedure was completed using another straight tip px slim, the same microcatheter and the same benchmark max.There was no report of an adverse effect to the patient.
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