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 |