inforMED
MalfunctionMMX

SINGLE-LOOP SNARE RETRIEVAL KIT

Received Jan 18, 2022 · Event occurred Jan 10, 2022

Report 0001625425-2022-00931 · MDR key 13280433

Device

Generic name

Retrieval Kit

Model number

380911120

Catalog number

380911120

Product problems

  • Material Fragmentation

Patient

Unknown

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

SAMPLE IS UNAVAILABLE FOR EVALUATION. WITHOUT SUCH EVIDENT TO REVIEW, THE COMPLAINT CANNOT BE CONFIRMED. IF ADDITIONAL INFORMATION IS PROVIDED IN THE FUTURE, A FOLLOW-UP REPORT WILL BE SUBMITTED.

Description of Event or Problem

AFTER THEY SNARED THE FILTER WITH THE RETRIEVAL KIT SNARE, THE DOCTOR SINCHED THE FILTER INTO THE 9FR SHEATH. THE DOCTOR THEN SHEATHED DOWN OVER THE FILTER WITH THE 11FR SHEATH AND RETRIEVED THE FILTER. THEN THE DOCTOR PUSHED SOME CONTRAST IN THE 11FR SHEATH FOR A FINAL CAVAGRAM, AND IT LOOKED GOOD. THEN WHEN HE PULLED THE 11FR SHEATH OUT IT HAD A STRING OF THE INNER SHEATH ATTACHED TO THE END OF THE 11FR SHEATH. IT WAS REMOVED FROM THE PATIENT WITHOUT INCIDENT.