| Catalog Number |
M0035422540 |
| Medical Device Problem Codes |
Adverse Event Without Identified Device or Use Problem (2993); Migration (4003)
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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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Malfunction
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Event or Problem Description
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It was reported that during an aneurysm embolization procedure, a first subject coil was successfully placed in the aneurysm.A second coil was subsequently introduced but was determined not to be a suitable fit and was retracted into the microcatheter.During retraction of the second coil, the first subject coil was unintentionally retracted from its implanted position.The physician reported no resistance during the event.Additional coil placement was subsequently attempted.The event resulted in an approximate 10-minute procedural delay.Additional coil placement was subsequently attempted, after which the aneurysm ruptured.The patient was transferred to neurosurgery for clipping.The physician reported that the patient was not expected to survive.No additional information is available.Update:
additional information received on 16-sept-2026 confirmed that an aneurysm rupture was reported in association with the subject coil (third coil).The aneurysm rupture occurred during the attempt to place the subject coil.The patient was transferred to neurosurgery for clipping.The physician reported that the patient was not expected to survive.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 1 of 3 mdrs (1st mdr).B1 product problem - updated.B2 ¿ outcomes attributed to ae - updated.B5 executive summary - updated.D1-product long description-updated.D4 ¿ catalog# - corrected.D4 ¿ lot # added.D4- expiration date- added.D4-gtin-added.H1 type of reportable event ¿ updated.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.
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Search Alerts/Recalls
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