FDA Adverse Event Death Summary report: N

UNK_THROMBECTOMY NEURAVI

MDR report key: 10006254 · Received April 28, 2020

Report

Report Number
3011370111-2020-00033
Event Type
Death
Date Received
April 28, 2020
Date of Event
May 31, 2018
Report Date
April 9, 2020
Manufacturer
NEURAVI LTD.
Product Code
NRY
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). SINCE THE PRODUCT WAS NOT RETURNED FOR ANALYSIS, NO PRODUCT FAILURE ANALYSIS CAN BE CONDUCTED AND NO DETERMINATION OF POSSIBLE CONTRIBUTING FACTORS COULD BE MADE. DEVICE HISTORY RECORD (DHR) REVIEW CANNOT BE CONDUCTED BECAUSE NO LOT NUMBER WAS PROVIDED BY THE CUSTOMER. INFORMATION REGARDING PATIENT WEIGHT, HEIGHT, MEDICAL HISTORY, RACE, AND ETHNICITY WAS NOT REPORTED. CERENOVUS MANUFACTURER'S REPORT NUMBERS: 3008114965-2020-00146, 3008114965-2020-00147, 3011370111-2020-00032, AND 3008114965-2020-00148 ARE RELATED TO THE SAME INCIDENT.

Description of Event or Problem · 1

THIS COMPLAINT IS FROM A LITERATURE SOURCE. AS REPORTED IN THE LITERATURE PUBLICATION ENTITLED, ¿A TECHNICAL REPORT ON THE PERFORMANCE OF A NEW LARGE BORE CEREBRAL ASPIRATION CATHETER, THE FIRST RESULTS.¿ 2 PATIENTS WITH ACUTE ISCHEMIC STROKE OF THE ANTERIOR CIRCULATION WHO UNDERWENT ENDOVASCULAR PROCEDURE WITH STENT RETRIEVER (COMBINATION GROUP) EXPERIENCED SYMPTOMATIC INTRACRANIAL HEMORRHAGE DIED AT 90-DAY FOLLOW-UP, OBJECTIVE: THE INITIAL RESULTS OF THE SYPHONTRACK SUPER DISTAL ACCESS (SDA) CATHETER USED FOR ENDOVASCULAR TREATMENT OF PATIENTS WITH ACUTE ISCHEMIC STROKE OF THE ANTERIOR CIRCULATION WERE DESCRIBED. METHODS: A RETROSPECTIVE REVIEW OF PROSPECTIVELY COLLECTED DATA FROM JUNE 2017 TO MAY 2018 WITH DIRECT DISTAL ASPIRATION OR A COMBINATION OF DISTAL ASPIRATION WITH STENT RETRIEVER THROMBECTOMY WAS PERFORMED. THE NUMBER OF DEATHS (¿COMBINATION¿ GROUP) WAS EQUALLY DIVIDED BETWEEN DEVICES INVOLVED IN THIS STUDY (REVIVE - 2, EMBOTRAP ¿ 2, SOLITAIRE- 2.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
469968 UNK_THROMBECTOMY NEURAVI CATHETER, THROMBUS RETRIEVER NRY NEURAVI LTD.

Patients

Seq Age Sex Outcome Treatment
1 72 YR Death