inforMED
MalfunctionMMX

ATRIEVE VASCULAR SNARE KIT 3.2FR

Received May 16, 2022 · Event occurred Apr 26, 2022

Report 0001625425-2022-01005 · MDR key 14407007

Device

Generic name

Atrieve Vascular Snare Kit

Model number

381003008

Catalog number

381003008

Lot number

11198100

Product problems

  • Break
  • Entrapment of Device
  • Migration or Expulsion of Device

Patient

Unknown

  • Device Embedded In Tissue or Plaque
  • Device Embedded In Tissue or Plaque

Narrative

Additional Manufacturer Narrative

THE SAMPLE IS INDICATED AS AVAILABLE FOR RETURN. AS OF THE DATE OF THIS REPORT, THE SAMPLE HAS NOT BEEN RETURNED. A FOLLOW-UP REPORT WILL BE PROVIDED ONCE THE DEVICE HAS BEEN RECEIVED AND REVIEWED.

Description of Event or Problem

CELT DEVICE DID NOT DEPLOY FULLY. CLIP BROKE AND FREE FLOATED DOWN THE RIGHT LEG. SNARE USED FOR RETRIEVAL, WIRE BROKE DURING ATTEMPTED REMOVAL FROM THE LEFT FEMORAL ACCESS. SNARE AND CLIP REMAIN IN THE PLACE IN THE LEFT

Description of Event or Problem

CELT DEVICE DID NOT DEPLOY FULLY. CLIP BROKE AND FREE FLOATED DOWN THE RIGHT LEG. SNARE USED FOR RETRIEVAL, WIRE BROKE DURING ATTEMPTED REMOVAL FROM THE LEFT FEMORAL ACCESS. SNARE AND CLIP REMAIN IN THE PLACE IN THE LEFT.

Additional Manufacturer Narrative

A REVIEW OF THE DHR AND INSPECTION RECORDS WAS CONDUCTED, AND NO DEVIATIONS OR NON-CONFORMANCES WERE FOUND. AFTER THREE NOTIFICATIONS, THE SAMPLE FROM THE ALLEGED COMPLAINT HAS NOT BEEN RETURNED FROM THE CUSTOMER TO ARGON. ADDITIONALLY, NO PHOTOGRAPHIC OR VISUAL EVIDENCE OF ANY KIND WAS PROVIDED WHICH WOULD HAVE ALLOWED FOR THE ALLEGATION TO BE REVIEWED. WITHOUT SUCH EVIDENCE, DETERMINING ROOT CAUSE OR CORRECTIVE ACTION IS NOT POSSIBLE. IF THE SAMPLE IS RETURNED AT A FUTURE DATE, THIS COMPLAINT MAY BE REOPENED FOR FURTHER EVALUATION AT THAT TIME.