Catalog Number PMX220 |
Device Problems
Failure to Pump (1502); Device Operates Differently Than Expected (2913); No Pressure (2994)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 06/17/2016 |
Event Type
malfunction
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Manufacturer Narrative
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This device is available for return.A follow up mdr will be submitted upon completion of the device investigation.
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Event Description
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The patient was undergoing a thrombectomy procedure using a penumbra system aspiration pump max 220v (pump max).During the procedure, the pump max was turned on and ready for use; however, a sudden electric circuit shock occurred, which caused a power outage.When the electricity came back on, the pump max was switched on again but was unable to produce any vacuum.Therefore, the procedure was completed using another manufacturer's device.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Result: blood was found in and around the vacuum inlet on the top of the pump.A pipe cleaner was inserted in the pump inlet and fluid was observed inside the pump.Conclusion: evaluation of the returned pump revealed blood in and around the pump vacuum inlet.A pipe cleaner was inserted in the pump inlet and fluid was observed inside the pump.If the aspiration tubing connected directly to the vacuum inlet rather than the canister supplied by penumbra, blood or other fluid will likely enter the pump assembly.The observed blood likely contributed to the pump not producing vacuum.Penumbra pumps are visually and functionally inspected during incoming quality inspection.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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Event Description
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The event description has been modified as follows: the patient was undergoing a thrombectomy procedure using a penumbra system aspiration pump max 220v (pump max).During the procedure, the pump max was turned on and ready for use; however, a power outage occurred.When the electricity came back on, the pump max was switched on again but was unable to produce any vacuum.Therefore, the procedure was completed using another manufacturer's device.There was no report of an adverse effect to the patient.
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Search Alerts/Recalls
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