The product was not returned for evaluation.Without the return of the device, the root cause of the problem cannot be determined.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns.
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The patient was undergoing a coil embolization procedure using pod packing coils (podjs).During the procedure, the physician successfully placed a ruby coil using a non-penumbra microcatheter.The physician then felt resistance advancing a podj and therefore, the physician attempted to retract the podj.While retracting, the physician felt more resistance and, consequently, the podj unintentionally detached within the microcatheter.The microcatheter was then removed with the podj inside.It was reported that the nurse then realized that the inner lumen of the microcatheter was incompatible with this podj.The procedure was completed using additional coils.There was no report of an adverse effect to the patient.
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