InjuryMMX
RECOVERY IVC FILTER
Received Jun 8, 2020 · Event occurred Jun 4, 2020
Report MW5094887 · MDR key 10132694
Device
Generic name
Device, Percutaneous Retrieval
Manufacturer
C.r. Bard, Inc/ BdProduct problems
- Break
- Fracture
- Migration
Patient
49 YR
- Device Embedded In Tissue or Plaque
- Device Embedded In Tissue or Plaque
Narrative
Description of Event or Problem
RECOVERY IVC FILTER FOUND TO BE FRACTURED AND EMBOLIZED. THREE ARMS BROKEN OFF, ONE RETAINED LOCALLY AND TWO MIGRATED TO PULMONARY ARTERY. FILTER AND ALL FRAGMENTS REMOVED PERCUTANEOUSLY. FDA SAFETY REPORT ID# (B)(4).