|
|
| Catalog Number |
RBYPCXL55 |
| Medical Device Problem Codes |
Physical Resistance/Sticking (4012); Premature Separation (4045)
|
| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
|
| Date of Event |
02/11/2026
|
|
Type of Reportable Event
|
Malfunction
|
|
Event or Problem Description
|
|
The patient was undergoing a coil embolization procedure to treat a collateral vessel using a packing coil xl, pod packing coils (packing coils), and a non-penumbra catheter (4f).During the procedure, the physician advanced a packing coil xl into the vessel, the physician experienced resistance.While retracting the packing coil xl, the embolization coil unintentionally detached within the catheter.The catheter containing the embolization coil was removed.The physician opened a lantern delivery microcatheter (lantern) and advanced a packing coil into the target vessel.While repositioning the packing coil, the embolization coil unintentionally detached within the vessel.A snare device was used to remove the detached embolization coil from the patient.The procedure was completed with a new packing coil and the same lantern.There was no report of an adverse effect to the patient.
|
| |
|
Additional Manufacturer Narrative
|
|
Evaluation of the returned packing coil xl revealed that the pe fibers were fractured, and the embolization coil was unraveled.If the pod xl is retracted against resistance, the pe fiber may fracture causing the embolization coil to unravel.Evaluation also revealed the pet lock was intact, and the embolization coil was still intact with the pusher at the detachment mechanism.Based on the reported complaint, the root cause of resistance during the procedure could not be determined.Further evaluation revealed bends along the pusher assembly and a kink at the proximal end.This damage was incidental to the reported complaint and may have occurred while snaring or packaging for return.Penumbra coils are visually inspected during in-process inspection and during quality inspection after manufacturing.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
|
| |
|
Search Alerts/Recalls
|
|
|