| Catalog Number |
M0035422540 |
| Medical Device Problem Codes |
Inadequacy of Device Shape and/or Size (1583); Device Damaged by Another Device (2915); Adverse Event Without Identified Device or Use Problem (2993)
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| Health Effect - Clinical Codes |
Ruptured Aneurysm (4436); No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
08/14/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported that during an aneurysm embolization procedure, a first coil was placed in the aneurysm.A second coil was determined not to be a good fit and was retracted into the microcatheter.During retraction, the first coil was also retracted.The physician reported that no resistance was encountered.A new subject coil was then attempted, after which the aneurysm ruptured.The consultant stated that the aneurysm rupture was caused by the coil.The event resulted in a 10-minute surgical delay.The patient was subsequently transferred to the neurosurgery department for clipping.The consultant stated that the patient would most likely not survive.No additional information available.
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Event or Problem Description
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It was reported that during an aneurysm embolization procedure, a first coil was placed in the aneurysm.A second coil was determined not to be a good fit and was retracted into the microcatheter.During retraction, the first coil was also retracted.The physician reported that no resistance was encountered.A new subject coil was then attempted, after which the aneurysm ruptured.The consultant stated that the aneurysm rupture was caused by the coil.The event resulted in a 10-minute surgical delay.The patient was subsequently transferred to the neurosurgery department for clipping.The consultant stated that the patient would most likely not survive.No additional information available.Update:
additional information received on 16-sept-2026 confirmed that the subject coil (lot #26156878) did not cause the aneurysm rupture.It was reported that the subject coil was not a good fit and was retracted.The event resulted in an approximate 10-minute procedural delay.No additional information is available.
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Additional Manufacturer Narrative
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This is 2 of 2 mdrs (2nd mdr).
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Additional Manufacturer Narrative
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This is 2 of 3 mdrs (2nd mdr).B1 product problem - corrected - no adverse event.B2 ¿ outcomes attributed to ae - corrected - no hospitalization-initial or prolonged, no other serious (important medical events), and no required intervention to prevent permanent impairment/damage (devices),
h1 type of reportable event ¿ corrected - no serious injury.B5 executive summary - updated.D1-product long description-updated.D4 ¿ catalog# - corrected.D4 ¿ lot # added.D4- expiration date- added.D4-gtin-added.H4-manufacturing date- added.F10 / h6 medical device problem code - device code grid ¿ corrected.F10 / h6 health effect - clinical code - clinical signs code grid ¿ corrected.F10 / h6 health effect - impact code - health impact code grid ¿ corrected.The manufacturer has reviewed all information and determined this event no longer meets the requirement of the reportable event for the device in question.
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Search Alerts/Recalls
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