FDA Adverse Event Injury Summary report: N

INDIGO SYSTEM ASPIRATION CATHETER

MDR report key: 17476645 · Received August 7, 2023

Report

Report Number
3005168196-2023-00380
Event Type
Injury
Date Received
August 7, 2023
Date of Event
September 1, 2019
Report Date
August 7, 2023
Manufacturer
PENUMBRA, INC.
Product Code
QEW
PMA / PMN Number
K192833
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL 510(K)#S THAT ALSO APPLY TO THIS COMPLAINT: K142870, K160533, K161523. 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. DISTAL EMBOLIZATION IS INCLUDED AS A POSSIBLE COMPLICATION IN THE INSTRUCTIONS FOR USE (IFU) FOR THE INDIGO ASPIRATION 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 12-JUL-2023, PENUMBRA INC. BECAME AWARE OF A JOURNAL ARTICLE TITLED, "PENUMBRA INDIGO PERCUTANEOUS ASPIRATION THROMBECTOMY SYSTEM IN THE TREATMENT OF AORTIC ENDOGRAFT ILIAC LIMB OCCLUSION: RESULTS FROM AN ITALIAN MULTICENTRE REGISTRY" (SPATH P. ET AL. 2023). IN THIS RETROSPECTIVE, OBSERVATIONAL, MULTICENTER STUDY, SEVENTEEN PATIENTS UNDERWENT ASPIRATION THROMBECTOMY FOR ILIAC LIMB OCCLUSION (ILO) AFTER ENDOVASCULAR AORTIC REPAIR (EVAR) USING INDIGO SYSTEM CAT8 ASPIRATION CATHETER (CAT8) OR INDIGO SYSTEM CATD ASPIRATION CATHETER (CATD) WITH OR WITHOUT AN INDIGO SYSTEM SEPARATOR 8 (SEP8) OR INDIGO SYSTEM SEPARATOR D (SEPD) BETWEEN SEPTEMBER 2019 AND DECEMBER 2021. ONE PATIENT WHO UNDERWENT ASPIRATION THROMBECTOMY FOR ILO USING THE INDIGO SYSTEM REQUIRED MULTIPLE PASSES TO ACHIEVE THE THROMBUS REMOVAL. IT WAS REPORTED THAT THE PATIENT HAD INTRA-OPERATIVE DISTAL EMBOLIZATION, WHICH WAS EFFECTIVELY TREATED WITH THROMBO-ASPIRATION IN THE SAME SESSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
741050 INDIGO SYSTEM ASPIRATION CATHETER QEW QEW PENUMBRA, INC.

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention