MAUDE Adverse Event Report: CODMAN AND SHURTLEFF, INC (MEXICO) OG TDL CMPLX FILL COIL 5X15; NEUROVASCULAR EMBOLIZATION DEVICE

Catalog Number	640CF0515
Medical Device Problem Code	Stretched (1601)
Health Effect - Clinical Code	No Consequences Or Impact To Patient (2199)
Date of Event	07/30/2018
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
(b)(4).[conclusion]: the healthcare professional reported that during the pre-stent graft (sg) coil embolization of an aneurysm at the right iliac artery, the orbit galaxy complex fill 5mm x 15cm coil (640cf0515 / 30036030) was one of the coils used during the parent artery occlusion portion of the procedure, but the 5 mm x 15 cm orbit galaxy coil could not be resheathed.The zipper on the coil could not be unzipped.It was confirmed that the physician did not apply excessive force during the unsheathing and resheathing of the device.The procedure was successfully completed without further issues or delay.There was no report of patient injury or complication; the complaint product was new and was stored per labeling instructions.The procedure was conducted in accordance with the instruction for use (ifu) with constant flush maintained at all time.There was no visible defect or damage noted on the product prior to the event.There was no unintended detachment observed in the vessel or in the microcatheter.The orbit galaxy complex fill 5mm x 15cm coil was returned for evaluation and the embolic coil was observed in a tangled condition and the coil was stretched.The investigational finding is documented below.A non-sterile orbit galaxy complex fill 5mm x 15cm coil was received coiled inside a pouch.The hypotube was inspected and was found kinked at 99 cm from the proximal end.The introducer was found kinked and residues of dry blood is observed on it.The support coil and gripper were inspected; no damages were noted on them.The embolic coil was found in tangled condition with the received device; the coil was also stretched.No other damages were note on the received device.The functional test could not be performed due to the introducer in a kinked condition with residues of dry blood noted on it.The reported issue that the orbit galaxy complex fill 5mm x 15cm coil could not be resheathed; the zipper could not be unzipped could not be confirmed through functional evaluation of the returned device.The introducer was kinked and as a result, the test could not be performed.Failure reported by the costumer as ¿coil introducer-zipping difficulty-rezipping¿ could not be evaluated due to the introducer was found kinked and the functional test could not be performed.A review of the manufacturing documentation associated with this lot 30036030 presented no issues during the manufacturing or inspection process that can be related to the reported complaint.With the information provided and the returned device in a condition that did not allow for functional testing, the reported customer complaint could not be confirmed.Based on the device history record review, there is no indication that the event is related to the device manufacturing process.The exact cause of the event could not be conclusively determined; however, it is possible that circumstances of the procedure and/or device manipulation/interaction may have contributed to the reported failure.Devices undergo 100% inspection at final assembly for the condition of the embolic coil.Thus, it is not likely that the orbit galaxy complex fill 5mm x 15cm coil left the manufacturing facility with the embolic coil in a tangled state and stretched condition.As part of the post market surveillance program, information from this complaint is trended for statistical signals and corrective/preventive action may be triggered at a later time.Since there was no evidence to suggest the event was related to a manufacturing or design issue, no corrective actions will be taken at this time.This is one of 3 products involved with the reported complaint.The associated manufacturer report numbers are 1226348-2018-00760, 1226348-2018-00761, and 3008114965-2018-00780.The manufacturer will submit a supplemental report if new facts arise which materially alter information submitted in a previous mdr report.Additional information will be submitted within 30 days of receipt.
Event or Problem Description
The healthcare professional reported that during the pre-stent graft (sg) coil embolization of an aneurysm at the right iliac artery, the orbit galaxy complex fill 5mm x 15cm coil (640cf0515 / 30036030) was one of the coils used during the parent artery occlusion portion of the procedure, but the 5 mm x 15 cm orbit galaxy coil could not be resheathed.The zipper on the coil could not be unzipped.It was confirmed that the physician did not apply excessive force during the unsheathing and resheathing of the device.The procedure was successfully completed without further issues or delay.There was no report of patient injury or complication; the complaint product was new and was stored per labeling instructions.The procedure was conducted in accordance with the instruction for use (ifu) with constant flush maintained at all time.There was no visible defect or damage noted on the product prior to the event.There was no unintended detachment observed in the vessel or in the microcatheter.The orbit galaxy complex fill 5mm x 15cm coil was returned for evaluation and the embolic coil was observed in a tangled condition and the coil was stretched.

• Brand Name: OG TDL CMPLX FILL COIL 5X15
• Common Device Name: NEUROVASCULAR EMBOLIZATION DEVICE
• Manufacturer (Section D): CODMAN AND SHURTLEFF, INC (MEXICO); circuito interior norte #1820; juarez chihuahua 32580 ; MX 32580
• MDR Report Key: 8010515
• Report Number: 1226348-2018-00760
• Device Sequence Number: 13489914
• Product Code: KRD
• UDI-Device Identifier: 10886704030300
• UDI-Public: 10886704030300
• Combination Product (Y/N): N
• Initial Reporter Country: JA
• PMA/510(K) Number: K093973
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: company representative,foreig
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 09/12/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Expiration Date: 02/29/2020
• Device Catalogue Number: 640CF0515
• Device Lot Number: 30036030
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 08/24/2018
• Type of Report(Section G): Initial
• Initial Date Received by Manufacturer: 09/12/2018
• Initial Report FDA Received Date: 10/26/2018
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1