FDA Adverse Event Injury Summary report: N

LIMFLOW TRANSFORMING CLTI ARC

MDR report key: 19647251 · Received June 28, 2024

Report

Report Number
MW5156845
Event Type
Injury
Date Received
June 28, 2024
Date of Event
June 14, 2024
Report Date
June 26, 2024
Manufacturer
LIMFLOW INC.
Product Code
PDU
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

THE TIP OF THE CATHETER BROKE OFF INTO THE VESSEL IMPEDING ADVANCEMENT DURING A PROCEDURE AND TO RETRIEVE THE BROKEN TIP, SURGEONS HAD TO CONVERT TO OPEN PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
684720 LIMFLOW TRANSFORMING CLTI ARC CATHETER FOR CROSSING TOTAL OCCLUSIONS PDU LIMFLOW INC. 82300571

Patients

Seq Age Sex Outcome Treatment
1 73 YR Male Required Intervention