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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PENUMBRA, INC. BENCHMARK 6F 071 DELIVERY CATHETER; DQY, QJP

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PENUMBRA, INC. BENCHMARK 6F 071 DELIVERY CATHETER; DQY, QJP Back to Search Results
Catalog Number BMK6F105BER130
Medical Device Problem Code Fracture (1260)
Health Effect - Clinical Code Foreign Body In Patient (2687)
Date of Event 12/28/2025
Type of Reportable Event Serious Injury
Event or Problem Description
The patient was undergoing a medical procedure in the middle meningeal artery (mma) using a benchmark 6f 071 delivery catheter (benchmark) and a non-penumbra sheath (6f).During the procedure, while advancing the benchmark into a smaller branch of the right radial artery via right radial access, the benchmark became stuck.While retracting the benchmark, the benchmark fractured in half.No attempts were made to remove the fractured segment of the benchmark.The physician then gained femoral access and treated both sides of the mma.The fractured segment of the benchmark was left in the patient¿s arm.The physician currently has no plans for removal.
 
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
BENCHMARK 6F 071 DELIVERY CATHETER
Common Device Name
DQY, QJP
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 menezes
one penumbra place
alameda, CA 94502
5107483200
MDR Report Key24166060
Report Number3005168196-2026-00026
Device Sequence Number15731421
Product Code DQY
UDI-Device Identifier00815948025226
UDI-Public00815948025226
Combination Product (Y/N)N
Initial Reporter StateTN
Initial Reporter CountryUS
PMA/510(K) Number
K212838
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 01/23/2026
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue NumberBMK6F105BER130
Device Lot NumberF00016787
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 12/29/2025
Initial Report FDA Received Date01/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/14/2025
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
Outcome Attributed to Adverse Event Other;
Patient Age24 YR
Patient SexMale
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