inforMED
MalfunctionMMX

GUNTHER TULIP VENA CAVA FILTER RETRIEVAL SET

Received May 4, 2026 · Event occurred Apr 13, 2026

Report 1820334-2026-00473 · MDR key 25067390

Device

Generic name

Mmx Device, Percutaneous Retrieval

Manufacturer

Cook Inc

Model number

G13287

Catalog number

GTRS-200-RB

Lot number

16806037

Product problems

  • Break

Patient

Not reported

  • Insufficient Information
  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

BLANK FIELDS ON THIS FORM INDICATE THE INFORMATION IS UNKNOWN OR UNAVAILABLE. H3: DEVICE EVALUATION ANTICIPATED BUT NOT YET BEGUN. THIS REPORT INCLUDES INFORMATION KNOWN AT THIS TIME. A FOLLOW-UP REPORT WILL BE SUBMITTED SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE. THIS REPORT IS REQUIRED BY THE FDA UNDER 21 CFR PART 803 AND IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT CONTAINED HEREIN IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED, THAT A DEATH OR SERIOUS INJURY OCCURRED, NOR THAT ANY COOK DEVICE CAUSED, CONTRIBUTED TO, OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Description of Event or Problem

AS REPORTED, DURING RETRIEVAL OF AN UNKNOWN INFERIOR VENA CAVA FILTER, A GUNTHER TULIP VENA CAVA FILTER RETRIEVAL SET'S LOOP SNARE CRACKED. THERE HAS BEEN NO REPORT THAT THE PATIENT REQUIRED ADDITIONAL INTERVENTIONS/PROCEDURES OR EXPERIENCED ANY ADVERSE EFFECTS RESULTING FROM THIS EVENT.