FDA Adverse Event
Malfunction
Summary report: N
ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM
MDR report key: 18169331
·
Received November 20, 2023
Report
- Report Number
- 18169331
- Event Type
- Malfunction
- Date Received
- November 20, 2023
- Date of Event
- June 30, 2023
- Report Date
- July 24, 2023
- Manufacturer
- SILK ROAD MEDICAL, INC.
- Product Code
- NTE
- UDI-DI
- 00811311020829
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
VALVE ON VENOUS SHEATH VERY DIFFICULT TO PASS DILATOR THROUGH.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1688224 | ENROUTE TRANSCAROTID NEUROPROTECTION SYSTEM | TEMPORARY CAROTID CATHETER FOR EMBOLIC CAPTURE | NTE | SILK ROAD MEDICAL, INC. | FG12522 | 303160 | 00811311020829 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 21900 DA | Male |