FDA Adverse Event Injury Summary report: N

MARATHON MICRO CATHETER

MDR report key: 1032528 · Received April 22, 2008

Report

Report Number
2029214-2008-00077
Event Type
Injury
Date Received
April 22, 2008
Date of Event
March 26, 2008
Report Date
March 29, 2008
Manufacturer
EV3 NEUROVASCULAR
Product Code
DYG
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE INVOLVED IN THIS EVENT WILL NOT BE RETURNED FOR EVALUATION, AS IT IS BEING HELD AT THE HOSPITAL.

Description of Event or Problem · 1

DURING AN EMBOLIZATION OF A VEIN OF GALEN ANEURYSM, THE CATHETER WAS PLACED IN THE RIGHT ANTERIOR CEREBRAL ARTERY. DURING ONYX INJECTION, IT WAS REPORTED THE PHYSICIAN NOTED ONYX WAS PRESENT IN THE ARTERY. THE CATHETER WAS REMOVED AND FOUND RUPTURED. NO COMPLICATIONS WERE REPORTED WITH THE PATIENT AS A RESULTED OF THIS EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MARATHON MICRO CATHETER FLOW DIRECTED MICRO CATHETER DYG EV3 NEUROVASCULAR 105-5055 2417852

Patients

Seq Age Sex Outcome Treatment
1 2 YR Disability