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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER NEUROVASCULAR CORK TARGET TETRA 1.5MM X 3.0CM; DEVICE, NEUROVASCULAR EMBOLIZATION

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STRYKER NEUROVASCULAR CORK TARGET TETRA 1.5MM X 3.0CM; DEVICE, NEUROVASCULAR EMBOLIZATION Back to Search Results
Catalog Number TG5411530
Medical Device Problem Code Premature Separation (4045)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 01/12/2026
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
This is 2 of 2 reports (2nd mdr).
 
Event or Problem Description
It was reported that during procedure, the subject coil detached in the microcatheter.The procedure was completed successfully.No clinical consequences were reported to the patient due to this event.
 
Additional Manufacturer Narrative
D4 expiration date ¿ added d4 gtin ¿ added h4 manufacturing date ¿ added due to the automated mes system, there are controls in the manufacturing process to ensure the product met specifications upon release.During visual and functional inspection, catheter was returned.An attempt to flush the catheter was unsuccessful.A mandrel was advanced where it got jammed roughly 14cm from the hub.The catheter was cut and dried blood was removed.The subject coil was not returned.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 could not be confirmed, and it could not be definitively determined if the device failed to meet specifications because the product was not returned.It was reported that the subject coil detached incorrectly.Additional information provided by the customer indicated that microcatheter was used in the procedure and the subject coil detached as it was inserted into the microcatheter.While there are a number of potential causes for the reported issue, because review of available information failed to identify a definitive cause and the device was not returned for analysis, a cause of undeterminable will be assigned to this complaint.
 
Event or Problem Description
It was reported that during procedure, the subject coil detached in the microcatheter.The procedure was completed successfully.No clinical consequences were reported to the patient due to this event.
 
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Brand Name
TARGET TETRA 1.5MM X 3.0CM
Common Device Name
DEVICE, NEUROVASCULAR EMBOLIZATION
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 Key24292025
Report Number3008881809-2026-00071
Device Sequence Number13303360
Product Code HCG
UDI-Device Identifier07613327578669
UDI-Public(01)07613327578669(17)300513(10)25605333
Combination Product (Y/N)N
Initial Reporter StateNC
Initial Reporter CountryUS
PMA/510(K) Number
K242243
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional
Initial Reporter Occupation Physician Assistant
Type of Report Initial,Followup
Report Date (Section B) 04/29/2026
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 NumberTG5411530
Device Lot Number25605333
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Initial
Initial Date Received by Manufacturer 01/13/2026
Supplement Date Received by Manufacturer04/10/2026
Initial Report FDA Received Date02/09/2026
Supplement Report FDA Received Date04/29/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured05/15/2025
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
Concomitant Medical Products
and Therapy/Usage Dates
HEADWAY DUO 156 MICROCATHETER (UNKNOWN).
Patient SexUnknown
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