inforMED
MalfunctionMMX

BARD SNARE RETRIEVAL KIT

Received Jun 8, 2023 · Event occurred May 27, 2023

Report 3008988055-2023-00004 · MDR key 17090973

Device

Generic name

Percutaneous Retrieval Device

Model number

SP-4094-002

Catalog number

SRK35

Lot number

9010023491

Product problems

  • Fluid/Blood Leak
  • Fluid/Blood Leak

Patient

Unknown

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

Narrative

Additional Manufacturer Narrative

INITIAL REPORTER FULL ADDRESS COULD NOT FIT IN CELL E1 AND IS THE FOLLOWING: (B)(6) THIS SUBMISSION DOES NOT CONSTITUTE A DETERMINATION OR ADMISSION THAT THE DEVICE HAS MALFUNCTIONED OR THAT THE DEVICE WAS RELATED TO A DEATH OR INJURY.

Description of Event or Problem

THE SNARE RETRIEVAL KIT WAS EXPECTED TO BE USED TO RETRIEVE THE DENALI FILTER PLACED IN THE INFERIOR VENA CAVA THROUGH THE RIGHT INTERNAL JUGULAR VEIN. WHEN PERFORMING RADIOGRAPH WITH THE 11 F INTRODUCER SHEATH OF THE RETRIEVAL KIT, LIQUID WAS FOUND LEAKING THE DISTAL END OF THE INTRODUCER SHEATH. THE SHEATH WAS REMOVED OUT OF THE BODY AND CAREFULLY EXAMINED AND A SMALL "BREACH" WAS FOUND. TO ENSURE THE SAFETY OF THE PATIENT DURING OPERATION, THE SNARE RETRIEVAL KIT WAS REPLACED WITH A NEW ONE.