FDA Adverse Event Injury Summary report: N

TIGERTRIEVER REVASCULAZATION DEVICE

MDR report key: 19456733 · Received June 4, 2024

Report

Report Number
3015531723-2024-00001
Event Type
Injury
Date Received
June 4, 2024
Report Date
June 4, 2024
Manufacturer
RAPID-MEDICAL INC.
Product Code
NRY
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE ABSENCE OF FORMAL DOCUMENTATION OR A DETAILED INCIDENT REPORT LIMITS THE ABILITY TO DRAW DEFINITIVE CONCLUSIONS ABOUT THE EXACT CAUSE OR CONTRIBUTING FACTORS. IT APPEARS THAT THE DEVICE MAY NOT HAVE BEEN USED IN ACCORDANCE WITH THE RECOMMENDED DEPLOYMENT INSTRUCTIONS, POTENTIALLY LEADING TO THE ISSUE. BASED ON OUR ANALYSIS OF HISTORICAL DATA, THERE DO NOT APPEAR TO BE RECURRING ISSUES WITH VESSEL PERFORATION LINKED TO THE TIGERTRIEVER 13 WHEN USED AS DIRECTED.

Description of Event or Problem · 0

DURING A GENERAL FEEDBACK DISCUSSION WITH A PHYSICIAN, IT WAS MENTIONED THAT IN A PAST CASE INVOLVING THE TIGERTRIEVER 13, THE DEVICE MIGHT HAVE BEEN PUSHED FORWARD RATHER THAN STEADILY UNSHEATHED, WHICH COULD HAVE LED TO VESSEL PERFORATION. NO FURTHER DETAILS WERE PROVIDED BY THE PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
665497 TIGERTRIEVER REVASCULAZATION DEVICE TIGERTRIEVER 13 NRY RAPID-MEDICAL INC. TRPP7144

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other