MalfunctionMMX
RECOVERY CONE
Received Jan 10, 2017 · Event occurred Oct 13, 2016
Report 6236400 · MDR key 6236400
Device
Generic name
Device, Percutaneous Retrieval
Manufacturer
C.r. Bard, Inc.Catalog number
FBRC
Lot number
GFYD2719
Product problems
- Device Dislodged or Dislocated
Patient
47 YR
- No Known Impact Or Consequence To Patient
- No Known Impact Or Consequence To Patient
Narrative
Description of Event or Problem
DURING PLANNED IVC FILTER RETRIEVAL, A RADIOPAQUE CIRCULAR BAND FROM THE BARD IVC FILTER RETRIEVAL CONE SYSTEM CAME DISLODGED AND WAS RETRIEVED SUCCESSFULLY.