MREYE

Description of Event or Problem

THERE WAS NO COIL IN THE DELIVERY SYSTEM. IT WAS EMPTY. THE CATHETER THAT WAS INTENDED TO DELIVER A COIL DURING THE PROCEDURE WAS INSERTED INTO THE BODY AND POSITIONED IN PREPARATION OF COIL DEPLOYMENT, BUT THE COIL WAS ABSENT. THE DEVOID CATHETER WAS REMOVED AND A NEW CATHETER/COIL WAS SUCCESSFULLY OBTAINED AND USED. THE COIL WAS BEING DEPLOYED AS PART OF THE SCHEDULED PROCEDURE. THERE WAS NO INJURY TO THE PATIENT.