PENUMBRA SYSTEM REPERFUSION CATHETER
Report
- Report Number
- 3005168196-2023-00097
- Event Type
- Injury
- Date Received
- March 7, 2023
- Date of Event
- January 1, 2017
- Report Date
- March 7, 2023
- Manufacturer
- PENUMBRA, INC.
- Product Code
- NRY
- PMA / PMN Number
- K160449
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE PRODUCT WAS NOT RETURNED FOR EVALUATION. FROM THE INFORMATION PROVIDED, THERE IS NO INDICATION THAT THERE WAS ANY DEVICE MALFUNCTION, NONCONFORMANCE, OR MISUSE THAT CONTRIBUTED TO THE REPORTED EVENT. INTRACRANIAL HEMORRHAGE IS INCLUDED AS A POSSIBLE COMPLICATION IN THE INSTRUCTIONS FOR USE (IFU) FOR THE PENUMBRA SYSTEM. THE PRODUCT LOT NUMBER WAS NOT PROVIDED, THEREFORE, THE MANUFACTURING RECORDS COULD NOT BE REVIEWED.
DURING ITS POST-MARKET SURVEILLANCE ACTIVITIES ON (B)(6) 2023, PENUMBRA INC. BECAME AWARE OF A JOURNAL ARTICLE TITLED, "A DIRECT ASPIRATION FIRST PASS TECHNIQUE FOR VERTEBRA-BASILAR OCCLUSION: A RETROSPECTIVE COMPARISON TO STENT RETRIEVER" (ONODERA ET AL. 2022). IN THIS SINGLE CENTER RETROSPECTIVE STUDY, TWENTY-THREE PATIENTS WERE TREATED FOR ACUTE ISCHEMIC STROKE (AIS) AND VERTEBRA-BASILAR ARTERY OCCLUSION USING A PENUMBRA SYSTEM ACE 60 REPERFUSION CATHETER (ACE60) OR A PENUMBRA SYSTEM ACE 68 REPERFUSION CATHETER (ACE68) BETWEEN (B)(6) 2017 AND (B)(6) 2020.NINE PATIENTS EXPERIENCED HEMORRHAGE POST-PROCEDURE. HOWEVER, THERE WERE NO REPORTED PROCEDURAL COMPLICATIONS AND THE RELATIONSHIP BETWEEN THE HEMORRHAGES AND USE OF THE PENUMBRA REPERFUSION CATHETERS WAS NOT SPECIFIED.TWO PATIENTS EXPERIENCED A SYMPTOMATIC INTRACRANIAL HEMORRHAGE (SICH) POST-PROCEDURE. HOWEVER, THERE WERE NO REPORTED PROCEDURAL COMPLICATIONS AND THE RELATIONSHIP BETWEEN THE SICHS AND USE OF THE PENUMBRA REPERFUSION CATHETERS WAS NOT SPECIFIED.IT WAS ALSO REPORTED THAT THE PHYSICIAN WAS UNABLE TO ACCESS THE TARGET LOCATION USING THE PENUMBRA REPERFUSION CATHETER DUE TO THE TORTUOSITY OF THE VERTEBRAL ARTERY. THEREFORE, THE PHYSICIAN USED A STENT RETRIEVER AND AN ANCHORING TECHNIQUE TO DELIVER THE PENUMBRA REPERFUSION CATHETER TO THE CLOT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 716471 | PENUMBRA SYSTEM REPERFUSION CATHETER | NRY | NRY | PENUMBRA, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |