Model Number PMX110 |
Device Problems
Misconnection (1399); Device Contamination with Body Fluid (2317); Device Handling Problem (3265)
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Patient Problem
No Consequences Or Impact To Patient (2199)
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Event Date 05/09/2019 |
Event Type
malfunction
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Manufacturer Narrative
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The device has been returned and the investigation results are pending.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 110 (pump max).During the procedure, the aspiration tubing (tubing) was inadvertently misconnected to the pump max and consequently, blood was aspirated into the body of the pump max.Therefore, the pump max is no longer working, and the procedure was completed using a different pump max.There was no report of an adverse effect to the patient.
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Manufacturer Narrative
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Results: dried blood was found on the returned pump max housing.Conclusions: evaluation of the returned pump max confirmed blood was aspirated inside the vacuum pump.The reported complaint indicated that the aspiration tubing was directly connected to the pump inlet instead of the canister and blood was aspirated into the pump.If the fluid enters the vacuum pump assembly, the pump may not function properly.Penumbra pumps are visually inspected and functionally tested during incoming quality inspection.The manufacturing records for this lot were reviewed and did not reveal any outstanding discrepancies, design, or quality concerns h3 other text : placeholder.
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Manufacturer Narrative
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Please note that the following section was inadvertently missed on the initial mfr report and is being updated on this follow-up # 02 mfr report:3005168196-2019-01109.
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Search Alerts/Recalls
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