MAUDE Adverse Event Report: STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY SYNCHRO SELECT-14 SUPPORT ST 215CM; GUIDE, WIRE, CATHETER, NEUROVASCULATURE

Catalog Number	SSUP215STR
Medical Device Problem Code	Fracture (1260)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	10/01/2024
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that a piece of the subject guidewire broke off during the thrombectomy.No clinical consequences were reported to the patient due to this event.No additional information available.
Additional Manufacturer Narrative
D4 expiration date - added.D9 product available to stryker/ returned to manufacturer on ¿updated.H3 device evaluated by mfg ¿ updated.H4 manufacturing date ¿ added.There are controls in the manufacturing process to ensure the product met specifications upon release.The subject guidewire was returned in 2 fragments (approximately 6cm and 209cm).The distal tip had been shaped.The nitinol tubing on the subject guidewire distal end was noted to be broken/fractured approximately 6cm from the distal end.The core wire and platinum coil were not visible inside the nitinol tubing.The core wire distal end was observed through the distal tip dome.The nitinol tubing on the subject guidewire proximal end was noted to be broken/fractured approximately 209cm from the proximal end with the core wire broken and protruding 0.6cm from the broken surface of the nitinol tubing.The surface of the core wire was rough.The functional testing could not be performed due to the condition of the returned device.The reported complaint was confirmed based on analysis.The subject guidewire device failed to meet specification when received for complaint investigation based on the analyzed anomaly noted to the subject guidewire device.The reported event is covered in the device directions for use (dfu).As well, the risk of the reported event is documented in the risk documentation and there are current controls to mitigate the risk of the as reported event.Additional information provided by the customer indicated the dispenser hoop was flushed and there was no resistance encountered removing the subject guidewire from the dispenser hoop.No introducer sheath was used, as they typically use standard click valves.The first subject guidewire was shaped approximately 45 degrees, the second guidewire approximately 90 degrees.The wires were rotated as usual in any intervention (approximately 2-3 times).No excessive force was applied.The wires were both torn off during the examination in the patient.The patient was not harmed.The tips of the two affected micro wires detached.Both micro wires detached inside the human body, specifically in the same patient during the same intervention.The tips of the micro wires detached without the application of excessive force or any similar action.The physician believes there was no adhesive between the soft tip and the subject guidewire.The distal tip of the subject guidewire was broken.The breakage occurred inside the patient, and the broken subject guidewire was removed without any clinical consequences.The medical procedure the subject guidewire device was used for was thrombectomy.The anatomical location where the issue occurred was the distal right internal carotid artery and right anterior cerebral artery.New guidewires were used to complete the procedure, after the issue with the two wires, for the subject guide wire: microcatheter (excelsior sl 10), the second guidewire: aspiration catheter (without microcatheter) 3max by penumbra.There was no allegation against the microcatheter.The subject guidewire device was returned in 2 fragments (approximately 6cm and 209cm).The distal tip of the subject guidewire had been shaped.The nitinol tubing on the subject guidewire distal end was noted to be broken/fractured approximately 6cm from the distal end.The core wire and platinum coil were not visible inside the nitinol tubing.The core wire distal end was observed through the distal tip dome.The nitinol tubing on the subject guidewire proximal end was noted to be broken/fractured approximately 209cm from the proximal end with the core wire broken and protruding 0.6cm from the broken surface of the nitinol tubing.The surface of the core wire was rough.The damage to the returned subject guidewire indicates the device encountered a significant force during use to have caused this damage.An assignable cause of procedural factors will be assigned to the as reported and as analyzed ¿guidewire distal tip broken/fractured during use¿ as the issue is associated with a product that meets stryker design and manufacture specifications and was used in according with the dfu but due to procedural and/or anatomical factors during use, the product performance was limited.Or preparation of the product prior to use.This is 1 of 2 reports.
Event or Problem Description
It was reported that a piece of the subject guidewire broke off during the thrombectomy.No clinical consequences were reported to the patient due to this event.No additional information available.

• Brand Name: SYNCHRO SELECT-14 SUPPORT ST 215CM
• Common Device Name: GUIDE, WIRE, CATHETER, NEUROVASCULATURE
• Manufacturer (Section D): STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY; 4870 west 2100 south; salt lake city UT 84120
• Manufacturer (Section G): STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY; 4870 west 2100 south; salt lake city UT 84120
• Manufacturer Contact: tara lopez ; 47900 bayside parkway; fremont, CA 94538 ; 5104132500
• MDR Report Key: 20431195
• Report Number: 3012931345-2024-00179
• Device Sequence Number: 7860319
• Product Code: MOF
• UDI-Device Identifier: 07613327508611
• UDI-Public: (01)07613327508611(17)270508(10)0000661131
• Combination Product (Y/N): N
• Initial Reporter Country: GM
• PMA/510(K) Number: K202522
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional
• Initial Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date (Section B): 01/02/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: SSUP215STR
• Device Lot Number: 0000661131
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 10/01/2024
• Supplement Date Received by Manufacturer: 12/10/2024
• Initial Report FDA Received Date: 10/11/2024
• Supplement Report FDA Received Date: 01/02/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 05/09/2024
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown