The patient was undergoing a diagnostic procedure using a neuron 6f select catheter (6f select).During the procedure, while attempting to advance the 6f select through a neuron max 6f 088 long sheath (neuron max), the physician experienced resistance after advancing the 6f select approximately twenty centimeters into the neuron max.Therefore, the 6f select was removed and the procedure was successfully completed using a new neuron 5f select catheter (5f select) and the same neuron max.There was no report of an adverse effect to the patient.
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Results: the neuron 6f select catheter (6f select) was slightly deformed along its length.The go ring gauge was able to be passed over the 6f select's joint within specification.Conclusions: evaluation of the returned 6f select revealed that it was able to advance through a demonstration neuron max with some resistance.Although the returned unit was within specification, it did not track smoothly through the demonstration neuron max (compatible parent device).It is possible that advancing the returned 6f select against resistance repeatedly could have worsened the deformation and caused increased resistance.Further evaluation revealed that the catheter shaft was slightly deformed along its length.This damage was likely a result of the tightly wound return condition.The neuron max referred to in the complaint was not returned for evaluation and, therefore, the root cause of the initial resistance could not be determined.Penumbra catheters are inspected during in-process inspection and during quality inspection after manufacturing.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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