inforMED
InjuryOUT

SURPASS EVOLVE 4.5MM X 30MM - CE

Received Jul 20, 2026 · Event occurred Jun 24, 2026

Report 3008881809-2026-00466 · MDR key 25874193

Device

Generic name

Intracranial Aneurysm Flow Diverter

Catalog number

FD45030

Lot number

25574545

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

Not reported

  • Thrombosis/Thrombus

Narrative

Additional Manufacturer Narrative

THIS IS 1 OF 2 REPORTS.

Description of Event or Problem

IT WAS REPORTED THAT DURING VERTEBRAL ARTERY (VA) ANEURYSM PROCEDURE, THE SUBJECT STENT HAD RESISTANCE WHILE PASSING THE MICROCATHETER HUB AND INSIDE THE CATHETER. THE CATHETER SHIFTED, SO THE PHYSICIAN WITHDRAW BOTH THE CATHETER AND THE STENT. OUTSIDE THE PATIENT, THE STENT WAS DEPLOYED FROM THE CATHETER, AND MULTIPLE THROMBUS WAS FOUND INSIDE THE STENT. BOTH DEVICES WERE REPLACED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY WITH NO CLINICAL CONSEQUENCES TO THE PATIENT.