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MICRO THERAPEUTICS, INC. DBA EV3 REACT CATHETER; CATHETER, PERCUTANEOUS, NEUROVASCULATURE
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| Model Number |
REACT-71 |
| Medical Device Problem Code |
Break (1069)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
03/17/2026
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Type of Reportable Event
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Malfunction
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Additional Manufacturer Narrative
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Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event or Problem Description
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Medtronic received a report that the in the early morning of (b)(6), the reported hospital performed a middle cerebral artery m2 segment thrombectomy.During advancement of the distal access catheter to the proximal segment of the middle cerebral artery thrombus using a micro guidewire and microcatheter coaxial technique, the distal access catheter was not shaped, and aspiration with a 50 ml syringe showed air reflux and inability to maintain negative pressure.The catheter was removed for inspection, and a rupture was found at the tip end.A new react-71 was used instead for aspiration, successful recanalization was achieved in a single pass, the patient was in good condition, and the procedure was completed.The device and any accessories were prepared as indicated in the instructions for use (ifu).The catheter was flushed as indicated in the ifu.No patient symptoms or complications associated with this event were reported.
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Additional Manufacturer Narrative
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H3: analysis results were not available at the time of this report.A follow-up will be sent once analysis is complete.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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Event or Problem Description
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Additional information received reported a lesion characteristic being the middle cerebral artery occlusion.Vessel tortuosity was stated to be moderate.The patient did not experience any adverse effects.The catheter was continuously flushed throughout the procedure.It was clarified that rupture was found on tip end meant that the tip was not smooth/irregular in shape.
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Additional Manufacturer Narrative
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H3: product analysis: equipment used: video inspection system (m-81805), 203cm ruler (m-83360), in-house 0.070-inch mandrel as found condition: the react-71 catheter was returned for analysis inside a clear sealed biohazard plastic pouch and inside a shipping box.Damaged location details: the react-71 catheter tip and marker were examined, and no damage was noted.The catheter body was found to be stretched from ~13.5cm to ~18.0cm from the distal tip and was kinked at ~29.5cm from the distal tip.No voids or flashes were found in the catheter hub.No other anomalies were found.Testing/analysis: the react-71 catheter total length was measured to be ~140.5cm within the specification.The usable length was measured to be ~134.Cm within the specification (specification = total: 141 ± 3cm, usable: 132cm +3/-0cm).The catheter was flushed with water, and water exited through the distal tip.The catheter was tested using an in-house 0.070-inch mandrel through the hub without issues; however, resistance was observed at ~29.5cm from the distal tip.Conclusion: based on the reported information and device analysis, the customer¿s ¿catheter separation/break¿ report could not be confirmed, as the returned react-71 catheter was found intact but damaged (stretched/kinked).The cause of ¿catheter separation/break¿ could not be determined.The customer¿s report of ¿rupture was found at the tip¿ was clarified as ¿the tip was not smooth/irregular shape,¿ and this could not be confirmed.In-house testing of the catheter was performed using water, and water was observed exiting from the distal tip; no damage to the distal tip was observed.The cause could not be determined.Possible causes of ¿catheter damage¿ include, but are not limited to, patient vessel tortuosity, aggressive removal of the guidewire or delivery system, the use of an incompatible guidewire or delivery system, or the user advancing or retrieving the device against resistance.In this event, the customer stated that the vessel tortuosity was moderate, and the catheter was continuously flushed throughout the procedure, ruling out patient vessel tortuosity and the user advancing or retrieving the device against resistance as potential causes.Therefore, aggressive removal of the guidewire or delivery system, or the use of an incompatible guidewire or delivery system, could have contributed to the observed catheter damage.However, the cause of catheter damage could not be determined.The cause of the reported event could not be determined.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
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