inforMED
MalfunctionMMX

ATRIEVE VASCULAR SNARE KIT 7FR

Received Feb 28, 2023 · Event occurred Dec 21, 2022

Report 0001625425-2023-00976 · MDR key 16454398

Device

Generic name

Atrieve Vascular Snare Kit

Model number

382007030

Catalog number

382007030

Lot number

11374942

Product problems

  • No Apparent Adverse Event
  • Activation Failure
  • No Apparent Adverse Event
  • Activation Failure

Patient

Unknown

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

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

THE FILTER DID NOT OPEN AFTER RELEASE(CC# (B)(4), AND WAS TAKEN OUT WITH OUR THREE-RING TRAP, AND ADDITIONAL EQUIPMENT NEEDED TO BE COMPENSATED.

Additional Manufacturer Narrative

A REVIEW OF THE MANUFACTURING AND INSPECTION RECORDS FOR THIS LOT WAS CONDUCTED, AND NO DEVIATIONS AND NON-CONFORMANCES WERE RECORDED. AFTER THIRD NOTIFICATION, SAMPLE WAS NOT RETURNED TO ARGON. THE COMPLAINT WAS CLOSED. NO CORRECTIVE REQUIRED AT THIS TIME. IF THE SAMPLE IS RETURNED AT A FUTURE DATE, THIS COMPLAINT MAY BE REOPENED FOR FURTHER EVALUATION AT THAT TIME.

Description of Event or Problem

THE FILTER DID NOT OPEN AFTER RELEASE (CC#: 14855), AND WAS TAKEN OUT WITH OUR THREE-RING TRAP, AND ADDITIONAL EQUIPMENT NEEDED TO BE COMPENSATED.