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D9 product available to stryker ¿ updated.D9 returned to manufacturer on ¿updated.H3 device evaluated by mfg ¿updated.Due to the automated mes (manufacturing execution system) there are controls in the manufacturing process to ensure the product met specifications upon release.During visual inspection, the subject coil delivery wire was seen to be kinked.The main coil was seen to be detached.The catheter was soaked and eventually cut to remove the coil.(damage caused during analysis) the reminder of the coil was jammed within the shaft.The functional inspection was not applicable.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.The reported complaint was confirmed based on analysis.The device failed to meet specifications when received for complaint investigation based on the analyzed anomalies noted to the device.It was reported that during coiling of a ruptured aneurysm, the coil detached while tracking up the microcatheter.The coil was removed together with the microcatheter, and the case was ended without completing the coiling.The device was returned for analysis, and it was noted that the coil had separated from the delivery wire due to a physical break at the detachment zone.The coil was jammed inside the catheter due to the presence of dried procedural fluid.Per the additional information, continuous flush was maintained during the procedure.Based on the review of all available information, an assignable cause of procedural factors will be assigned to the as reported/ as analyzed, 'main coil prematurely detached/separated during use' and to the as analyzed, 'coil jammed'.This complaint appears to be associated with a product that met stryker design and manufacturing specifications and was used in accordance with the dfu, but performance was limited due to procedural factors during use.An assignable cause of handling damage will be assigned to the as analyzed, 'coil delivery wire kinked/bent'.This defect appears to be associated with handling of the product or portion of the product during the procedure / upon removal of the product from the packaging / preparation of the product prior to use.
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