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Catalog Number RBY2C0312 |
Device Problems
Detachment Of Device Component (1104); Failure to Fold (1255)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 06/04/2018 |
Event Type
malfunction
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Manufacturer Narrative
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The product was not returned for evaluation.Without the return of the device, the root cause of the problem cannot be determined.The product lot number was not provided, therefore, the manufacturing records could not be reviewed.This report is associated with mfr report number: 3005168196-2018-01328.It's unknown if the device is available for return.
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Event Description
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The patient was undergoing a coil embolization procedure using ruby coils and a lantern delivery microcatheter (lantern).During the procedure, the physician successfully placed a ruby coil using a non-penumbra microcatheter.The physician then attempted to place another ruby coil in a different vessel, however, the ruby coil did not take its intended shape.It was reported that the ruby coil might have been too large.The physician therefore removed the ruby coil and switched to a lantern.The physician then attempted to place a smaller ruby coil using the lantern; however, the ruby coil did not take its intended shape.While attempting to remove the ruby coil, it unintentionally detached from the pusher assembly.The lantern was removed with the detached ruby coil inside and the procedure was completed using a new coil.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Please note that the following sections were inadvertently missed on the initial mfr report and are being included on this follow-up #01 mfr report:3005168196-2018-01329.Please note that the following sections were incorrectly reported on the initial mfr report and are being corrected on this follow-up #01 mfr report:3005168196-2018-01329.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.This report is associated with mfr report number: 3005168196-2018-01328.
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Event Description
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"the patient was undergoing a coil embolization procedure in the renal branch using ruby coils and a lantern delivery microcatheter (lantern).During the procedure, the physician successfully placed a ruby coil using a non-penumbra microcatheter.The physician then attempted to place another ruby coil in a different vessel, however, the ruby coil did not take its intended shape.It was reported that the ruby coil might have been too large.The physician, therefore, removed the ruby coil and switched to a lantern.The physician then attempted to place a smaller ruby coil using the lantern, however, the ruby coil did not take its intended shape.While the physician was attempting to remove the ruby coil, the embolization coil unintentionally detached from the pusher assembly and, therefore, the lantern was removed with the ruby coil inside.The procedure was then completed using a new coil and a new lantern.There was no report of an adverse effect to the patient.".
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Search Alerts/Recalls
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