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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER NEUROVASCULAR CORK EXCELSIOR SL-10 PRE-SHAPED 45 150CM; CATHETER, PERCUTANEOUS

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STRYKER NEUROVASCULAR CORK EXCELSIOR SL-10 PRE-SHAPED 45 150CM; CATHETER, PERCUTANEOUS Back to Search Results
Catalog Number M0031681900
Medical Device Problem Code Peeled/Delaminated (1454)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/09/2025
Type of Reportable Event Malfunction
Event or Problem Description
The subject device was returned for analysis and the device investigation revealed that the catheter ptfe (polytetrafluoroethylene) inner lining was peeling.The subject device was replaced, and the procedure was completed successfully.No clinical consequences were reported to the patient due to this event.
 
Additional Manufacturer Narrative
Due to the automated manufacturing execution system (mes) system there are controls in the manufacturing process to ensure the product met specifications upon release.During visual inspection the catheter was returned with a stent deployed within the shaft.The catheter shaft was kinked/bent.The catheter distal tip was flat/crushed.The stent was located approximately 5cm from the proximal end.The catheter was cut in order to remove the stent.What appears to be catheter polytetrafluoroethylene (ptfe) inner lining was wrapped around the stent.During functional inspection a0.023" pin gauge was verified to meet the catheter shaft when inserted into the catheter hub.The microcatheter was flushed, a 0.0158" patency mandrel was unable to be advanced through the microcatheter due to the presence of the stent.Friction was noted at the damaged areas of the microcatheter.The reported event is covered in the device direction 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 reported event.The reported defect was confirmed based on analysis of the device.The device failed to meet specifications when received for complaint investigation based on the analyzed anomalies noted to the device.Additional information provided by the customer indicated that the device was prepared for use as per the directions for use, there was no damage noted to the packaging prior to opening the packaging, the device confirmed to be in good condition during preparation/prior to use on the patient and continuous flush was set up and maintained throughout the clinical procedure.It was reported that when the stent was being advanced into the subject microcatheter, the physician found that it could not be pushed further.Based on a review of all available information and the analysis of the returned device it is probable that the ptfe inner layer was damaged when resistance was felt advancing the stent during the procedure.There may have been friction due to some procedural factors during use.An assignable cause of procedural factors will be assigned to the reported and analyzed event: 'catheter shaft friction' as well as the analyzed event 'catheter tip flat/crushed', 'catheter shaft kinked/bent', 'catheter shaft blocked/occluded' and 'catheter ptfe inner lining peeling' as these issues are 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.
 
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Brand Name
EXCELSIOR SL-10 PRE-SHAPED 45 150CM
Common Device Name
CATHETER, PERCUTANEOUS
Manufacturer (Section D)
STRYKER NEUROVASCULAR CORK
ida industrial estate
model farm road
cork NA
EI  NA
Manufacturer (Section G)
STRYKER NEUROVASCULAR CORK
ida industrial estate
model farm road
cork NA
EI   NA
Manufacturer Contact
tara lopez
47900 bayside parkway
fremont, CA 94538
5104132500
MDR Report Key23349501
Report Number3008881809-2025-00571
Device Sequence Number15396307
Product Code DQY
UDI-Device Identifier04546540688224
UDI-Public(01)04546540688224(17)260918(10)25191943
Combination Product (Y/N)N
Initial Reporter CountryCH
PMA/510(K) Number
K042568
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 10/21/2025
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 Expiration Date09/18/2026
Device Catalogue NumberM0031681900
Device Lot Number25191943
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer08/15/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 10/02/2025
Initial Report FDA Received Date10/21/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured09/19/2024
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
Concomitant Medical Products
and Therapy/Usage Dates
NEUROFORM ATLAS STENT (STRYKER)
Patient Age45 YR
Patient SexFemale
Patient Weight60 KG
Patient RaceAsian
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