inforMED
MalfunctionMMX

BARD SNARE RETRIEVAL KIT

Received Feb 23, 2024 · Event occurred Jan 16, 2024

Report 3008988055-2024-00001 · MDR key 18773495

Device

Generic name

Percutaneous Retrieval Device,

Model number

SP-4094-001

Catalog number

SRK30

Product problems

  • Mechanical Problem
  • Mechanical Problem

Patient

NA · Unknown

  • Foreign Body In Patient
  • Foreign Body In Patient

Narrative

Additional Manufacturer Narrative

THE REPORT 3008988055-2024-00001 IS BEING AMENDED TO ADD THE CORRECT THE INITIAL REPORTER NAME.

Description of Event or Problem

IT WAS REPORTED THAT DURING FILTER REMOVAL PLACEMENT PROCEDURE, THE MARKER BAND BROKE OFF OF THE 9F SHEATH. IT WAS FURTHER REPORTED THAT THE MARKER BAND UNABLE TO GET THE MARKER BAND OUT OF THE BODY. THERE WAS NO REPORTED PATIENT INJURY.

Additional Manufacturer Narrative

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. DEVICE WAS DISCARDED BY USER AND IS NOT AVAILABLE FOR EVALUATION.