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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRAUB MEDICAL AG ROTAREX; THROMBECTOMY & ATHERECTOMY

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STRAUB MEDICAL AG ROTAREX; THROMBECTOMY & ATHERECTOMY Back to Search Results
Catalog Number 80237
Medical Device Problem Code Migration or Expulsion of Device (1395)
Health Effect - Clinical Code Perforation of Vessels (2135)
Date of Event 06/11/2026
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
H11: as the lot number for the device was provided, a review of the device history records is currently being performed.The return of the sample is pending.The investigation of the reported event is currently underway.D2b: (mcw; dqx).Section a through f: the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
On (b)(6) 2026, a patient underwent a thrombectomy and atherectomy procedure using a rotarex device for a left sfa occlusion.During the second pass, the device drew in the vessel wall and caused a perforation of the left sfa.The patient required placement of a covered stent to repair the perforation.The patients current condition is unknown.
 
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Brand Name
ROTAREX
Common Device Name
THROMBECTOMY & ATHERECTOMY
Manufacturer (Section D)
STRAUB MEDICAL AG
straubstrasse 12
ch-7323
wangs SG 73 23
SZ  SG 7323
Manufacturer (Section G)
STRAUB MEDICAL AG
straubstrasse 12
ch-7323
wangs SG 73 23
SZ   SG 7323
Manufacturer Contact
brett curtice
800 w. rio salado pkwy
tempe, AZ 85281
4803032689
MDR Report Key25706713
Report Number3008439199-2026-00238
Device Sequence Number21478199
Product Code MCW
UDI-Device Identifier07640142811862
UDI-Public(01)07640142811862(17)281208(10)260326
Combination Product (Y/N)N
Initial Reporter StateSD
Initial Reporter CountryUS
PMA/510(K) Number
K211738
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Company Representative
Initial Reporter Occupation Physician
Type of Report Initial
Report Date (Section B) 06/15/2026
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 Number80237
Device Lot Number260326
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 06/11/2026
Initial Report FDA Received Date07/03/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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 Required Intervention;
Patient SexUnknown
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