FDA Adverse Event Injury Summary report: N

PENUMBRA SYSTEM REPERFUSION CATHETER

MDR report key: 16496077 · Received March 7, 2023

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

Additional Manufacturer Narrative · 0

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.

Description of Event or Problem · 0

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