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CERENOVUS, INC. CEREGLIDE; CATHETER, THROMBUS RETRIEVER CATHETER, PERCUTANEOUS, NEUROVASCULATURE
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| Catalog Number |
NIC71132U |
| Medical Device Problem Codes |
Crack (1135); Material Puncture/Hole (1504); Retraction Problem (1536); Material Deformation (2976)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
03/10/2025
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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Manufacturer's ref.No: (b)(4).Section d2b: procode is nry/qjp.Information regarding patient weight, height, medical history, race, and ethnicity was not reported.Section h3 - the device is available to be returned for evaluation and testing.However, it has not been received to date.If the device returns, a device investigation will be performed.Missing information from this report is identified as blank; this information was not provided in the reported event or available at the time of report submission.This report is being submitted pursuant to the provisions of 21 cfr, part 803 (and/or part 4, as applicable).This report may be based on information which has not been investigated or verified prior to the required reporting date.This report does not reflect a conclusion by cerenovus, or its employees that the report constitutes an admission that the product, cerenovus, or its employees caused or contributed to the potential event described in this report.If information is obtained that was not available for the initial report, a follow-up report will be filed as appropriate.
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Event or Problem Description
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As reported by a healthcare professional, a 132cm cereglide 71 catheter (nic71132u, 31395153) collapsed and separated/shredded during thrombectomy procedure.There was difficulty removing the catheter from axs infinity after suction.Removed and discovered the issue.There was no patient injury reported.No additional information is available.
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Additional Manufacturer Narrative
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Manufacturer ref#: (b)(4).The product has been returned for evaluation and testing; however, the engineering evaluation has not been completed.A supplemental report will be submitted if new facts arise which materially alter information submitted in a previous mdr report.
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Additional Manufacturer Narrative
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Manufacturer ref#: (b)(4).Updated sections on this medwatch: b4, g3, g6, h2, h3, h6 and h11.As reported by a healthcare professional, a 132cm cereglide 71 catheter (nic71132u, 31395153) collapsed and separated/shredded during thrombectomy procedure.There was difficulty removing the catheter from axs infinity after suction.Removed and discovered the issue.There was no patient injury reported.No additional information is available.A non-sterile 132cm cereglide 71 catheter was received contained in the decontamination pouch.Upon receiving the device, visual inspection was performed, and one (1) compressed section of 6cm was noted at 22cm from the distal end of the catheter; this section was also noted to be severely stretched.As a result of the severity of the stretched section, the shaft was fractured but the device remained attached by the internal braided wires.The fracture was inspected under a microscope and it was observed that the internal braid wire was exposed.Elongation marks were noted on both edges.The other joints in the distal region of the catheter were intact, without obvious separations.The fracture surfaces of the shaft show stretching and tearing of the shaft material at the edges of the fracture, indicating material elongation and tearing.The withdrawal difficulties documented in the complaint could not be duplicated in the laboratory setting since such issue is most related to, device manipulation, and device selection; however, the multiple damages found in the returned catheter appeared to be a translation of the difficulty while maneuvering the device.The issues reported regarding a cut, compressed and fractured conditions on the distal tip of the catheter can be confirmed based on these; however, factors not described in the information provided, such as patient¿s anatomy, device manipulation, and operator¿s technique, may have contributed to the issue encountered.According to the risk documentation a damaged catheter is a potential issue that can occur during withdrawal of catheter.With the limited information available, a conclusive cause cannot be determined, however, given the broad sequence of events, there is no indication that the issue reported in the complaint is related to a manufacturing issue.A manufacturing record evaluation was performed, and no non-conformances related to the reported complaint condition were identified.As part of johnson & johnson medtech quality process, all devices are manufactured, inspected, and released to approved specifications.Devices undergo 100% inspection at different points during the manufacturing process to prevent damages such as catheter stretching and kinking from leaving the facility.Since there was no evidence to suggest the event was related to a manufacturing or design issue, no capa activity is required.It should be noted that product failure could be caused by multiple factors.The instructions for use contain the following precaution: ¿ exercise care in handling the intermediate catheter to reduce the chance of accidental damage.As part of the post market surveillance program, information from this complaint is trended to identify statistical signals for consideration of further correction action.Since there was no evidence to suggest the event was related to a manufacturing or design issue, no corrective actions will be taken at this time.A supplemental report will be submitted if new facts arise which materially alter information submitted in a previous mdr report.
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