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 |