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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRAUB MEDICAL AG ROTAREX; THROMBECTOMY & ATHERECTOMY

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STRAUB MEDICAL AG ROTAREX; THROMBECTOMY & ATHERECTOMY Back to Search Results
Catalog Number 80237
Medical Device Problem Codes Deformation Due to Compressive Stress (2889); Activation Problem (4042)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/22/2025
Type of Reportable Event Malfunction
Event or Problem Description
On (b)(6) 2025 a patient underwent a thrombectomy and atherectomy procedure using the rotarex device.It was reported that during the procedure, the tip of the catheter failed to rotate.The procedure was completed with a new catheter without further incident.There was no reported patient injury.
 
Additional Manufacturer Narrative
H11: manufacturing review: a manufacturing review was conducted and there was nothing found to indicate there was a manufacturing related cause for this event.Investigation summary: a physical investigation was performed for the catheter.During physical investigation a catheter was received only.The tube was found kinked at 65 cm from the tip of the catheter.The test guide wire went through with slightly resistance until the metal gear wheel.Due to the blockage flushing was needed for further investigation.Aspiration test was performed, and slightly lower aspiration level was achieved.The deformation of the catheter is described in the instructions for use as a possible complication and does represent an inherent risk.Labelling review: as the reported event did not allege a labeling or use related issue, a labeling review is not required.D2b (mcw; dqx).Section a through f ¿ the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
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Brand Name
ROTAREX
Common Device Name
THROMBECTOMY & ATHERECTOMY
Manufacturer (Section D)
STRAUB MEDICAL AG
straubstrasse 12
ch-7323
wangs SG 73 23
SZ  SG 7323
Manufacturer (Section G)
STRAUB MEDICAL AG
straubstrasse 12
ch-7323
wangs SG 73 23
SZ   SG 7323
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key22882184
Report Number3008439199-2025-00192
Device Sequence Number21048085
Product Code MCW
UDI-Device Identifier07640142810582
UDI-Public(01)07640142810582(17)270425(10)241328
Combination Product (Y/N)N
Initial Reporter StateGA
Initial Reporter CountryUS
PMA/510(K) Number
K211738
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 08/20/2025
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 Number80237
Device Lot Number241328
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer07/15/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 08/20/2025
Initial Report FDA Received Date08/25/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
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 SexUnknown
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