inforMED
InjuryMMX

EN SNARE®.

Received Dec 13, 2022 · Event occurred Dec 7, 2022

Report 9616662-2022-00023 · MDR key 15974091

Device

Generic name

Percutaneous Retrieval Device

Model number

00884450452462

Catalog number

EN2006020/B

Lot number

K2520311

Product problems

  • Fracture
  • Material Separation
  • Fracture
  • Material Separation

Patient

Unknown

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

Narrative

Description of Event or Problem

THE ACCOUNT ALLEGES THAT DURING A PROCEDURE, THE HEAD OF THE VASCULAR SNARE DEVICE DETACHED WITHIN THE PATIENT. THE PATIENT REQUIRED SURGICAL INTERVENTION TO RETRIEVE THE FOREIGN BODY. NO ADDITIONAL PATIENT CONSEQUENCES TO REPORT.

Additional Manufacturer Narrative

THE SUSPECT DEVICE IS EXPECTED TO RETURN FOR EVALUATION. A FOLLOW UP WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETE.

Additional Manufacturer Narrative

THE SUSPECT MEDICAL DEVICE WAS RETURNED FOR EVALUATION. THE DEVICE WAS EXAMINED VISUALLY AND MICROSCOPICALLY. FUNCTIONAL TESTING WAS PERFORMED. THE COMPLAINT IS CONFIRMED. THE ROOT CAUSE COULD NOT BE DETERMINED HOWEVER, IT IS LIKELY THAT SIGNIFICANT FORCE WAS APPLIED TO THE DEVICE DURING CLINICAL USE. THE DEVICE HISTORY RECORD WAS REVIEWED, AND NO EXCEPTION DOCUMENTS WERE FOUND. A SEARCH OF THE COMPLAINT DATABASE WAS PERFORMED AND NO SIMILAR COMPLAINTS FOR THIS LOT NUMBER WERE IDENTIFIED.