FDA Adverse Event Injury Summary report: N

COMANECI 17

MDR report key: 16618079 · Received March 27, 2023

Report

Report Number
3015531723-2023-00005
Event Type
Injury
Date Received
March 27, 2023
Date of Event
March 10, 2023
Report Date
March 27, 2023
Manufacturer
RAPID MEDICAL LTD.
Product Code
PUU
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
AL, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Description of Event or Problem · 0

COMANECI 17 WAS DEPLOYED ACROSS THE NECK OF THE BASILAR ANEURYSM. 5 TARGET COILS WERE DETACHED. UPON DETACHMENT OF THE FINAL COIL, IT WAS DISCOVERED A COIL WAS ENTANGLED WITHIN THE MESH OF THE COMANECI 17. THE PHYSICIAN REDUCED AND EXPANDED COMANECI 17 BUT WAS UNABLE TO SEPARATE THE COIL FROM THE COMANECI 17. THE PHYSICIAN ULTIMATELY ADVANCED HIS BENCHMARK TO THE COMANECI 17 AND PULLED IT ALONG WITH THE COIL OUT OF THE BODY. A LOOP OF ANOTHER COIL WAS THEN IN THE PCA AND BASILAR. THE PHYSICIAN DEPLOYED TWO ATLAS STENTS TO TACK DOWN THE COIL LOOPS AND THEN THE PROCEDURE ENDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
933894 COMANECI 17 COMANECI 17 PUU RAPID MEDICAL LTD. ANPP7199

Patients

Seq Age Sex Outcome Treatment
1 61 YR Female Required Intervention