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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PENUMBRA, INC. SENDIT DELIVERY DEVICE; NRY

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PENUMBRA, INC. SENDIT DELIVERY DEVICE; NRY Back to Search Results
Catalog Number RED72SDKIT
Medical Device Problem Codes Fracture (1260); Physical Resistance/Sticking (4012)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/29/2025
Type of Reportable Event Malfunction
Event or Problem Description
The patient was undergoing a thrombectomy procedure in the right m1 segment of the middle cerebral artery (mca) and the right a2 segment of the anterior cerebral artery (aca) using a sendit delivery device (sendit) and a penumbra system red72 reperfusion catheter (red72).It should be noted that the patient's carotid siphon was tortuous and the a1 had a sharp curve.During the procedure, the physician successfully completed one pass in the m1 using the red72 and the sendit.The sendit and red72 were then advanced to the a2 without difficulty.While removing the sendit from the red72, the physician experienced resistance and fractured the sendit inside the red72.The fractured sendit segment and the thrombus were then aspirated into the penumbra engine canister (canister) through the red72.At this point, the procedure was successfully completed.There was no report of an adverse effect to the patient.
 
Additional Manufacturer Narrative
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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Brand Name
SENDIT DELIVERY DEVICE
Common Device Name
NRY
Manufacturer (Section D)
PENUMBRA, INC.
one penumbra place
alameda CA 94502
Manufacturer (Section G)
PENUMBRA, INC.
one penumbra place
alameda CA 94502
Manufacturer Contact
veronica farris
one penumbra place
alameda, CA 94502
5107483200
MDR Report Key21561054
Report Number3005168196-2025-00072
Device Sequence Number15768426
Product Code NRY
UDI-Device Identifier00815948025943
UDI-Public00815948025943
Combination Product (Y/N)N
Initial Reporter CountryBR
PMA/510(K) Number
K211654
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)Unknown
Reporter Type Manufacturer
Report Source Foreign,Health Professional,Distributor
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 03/10/2025
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 NumberRED72SDKIT
Device Lot NumberF00012484
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/13/2025
Initial Report FDA Received Date03/10/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured06/14/2024
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 Number1
Patient Age41 YR
Patient SexMale
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