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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PENUMBRA, INC. RUBY COIL LP; HCG, KRD

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PENUMBRA, INC. RUBY COIL LP; HCG, KRD Back to Search Results
Catalog Number RBYLP0105
Medical Device Problem Code Difficult or Delayed Separation (4044)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/13/2026
Type of Reportable Event Malfunction
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.
 
Event or Problem Description
The patient was undergoing a coil embolization procedure in the posterior tibial artery (pta) using a ruby coil lp, a lp system detachment handle (handle), and a lantern delivery microcatheter (lantern).During the procedure, the physician successfully placed and detached two ruby coil lps into the target location using the handle.While making multiple attempts to detach another ruby coil lp into the target location using the same handle, the ruby coil lp would not detach.The physician did not attempt to manually detach the ruby coil lp.While retracting the ruby coil lp, the embolization coil detached within the lantern.The lantern containing the detached embolization coil was removed.The procedure was completed using another ruby coil lp, the same handle, and the same lantern.There was no report of an adverse effect to the patient.
 
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Brand Name
RUBY COIL LP
Common Device Name
HCG, KRD
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 Key24545130
Report Number3005168196-2026-00070
Device Sequence Number9272014
Product Code HCG
UDI-Device Identifier00815948025967
UDI-Public00815948025967
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K230284
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) 03/09/2026
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 NumberRBYLP0105
Device Lot NumberF00013308
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 02/13/2026
Initial Report FDA Received Date03/09/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured08/13/2024
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
Patient Age43 YR
Patient SexFemale
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