FDA Adverse Event Malfunction Summary report: N

SMARTCLAW?

MDR report key: 22386240 · Received July 2, 2025

Report

Report Number
2124215-2025-43708
Event Type
Malfunction
Date Received
July 2, 2025
Date of Event
June 5, 2025
Report Date
July 29, 2025
Manufacturer
DEVORO MEDICAL INC.
Product Code
QEW
UDI-DI
00850029546221
PMA / PMN Number
K241207
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

D4 - (ROOT PARENT) UDI IDENTIFIER (UDI) #: (B)(4).

Additional Manufacturer Narrative · 0

D4 - (ROOT PARENT) UDI IDENTIFIER (UDI) #: (B)(4). DEVICE EVAL BY MFR: THE DEVICE WAS RECEIVED, AND ANALYSIS WAS COMPLETED. VISUAL INSPECTION OF THE RETURNED SMARTCLAW DEVICE SHOWED THE BASKET NOT FULLY EXPANDED AND IT APPEARED TO HAVE A WIRE STICKING OUT FROM THE DISTAL BOND. THE HANDLE WAS OPENED AND THE OUTER SHAFT WAS CUT IN ORDER TO BE ABLE TO EXPAND THE BASKET. ACTUATION OF THE DEVICE WAS NOT POSSIBLE DUE TO THE WIRE STICKING OUT OF THE DISTAL BOND. NO OTHER ABNORMALITIES WERE FOUND DURING ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BASKET DETACHED. A WOLF SMARTCLAW MECHANICAL THROMBECTOMY CATHETER WAS SELECTED FOR USE IN AN ILIOCAVAL THROMBECTOMY PROCEDURE. THE TARGET LOCATION WAS THE INFERIOR VENA CAVA (IVC). THE WOLF SMARTCLAW WAS ADVANCED INTO THE IVC CLOT AND INSIDE A PREVIOUSLY IMPLANTED NON-BSC STENT. THE WOLF SMARTCLAW BASKET WAS DEPLOYED AND AN INITIAL PASS WAS MADE THROUGH THE CLOT. AFTER REMOVAL FROM SHEATH, IT WAS OBSERVED THAT A WIRE IN THE BASKET HAD DETACHED. A NON-BSC WAS THEN USED TO COMPLETE THE PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THE EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BASKET DETACHED. A WOLF SMARTCLAW MECHANICAL THROMBECTOMY CATHETER WAS SELECTED FOR USE IN AN ILIOCAVAL THROMBECTOMY PROCEDURE. THE TARGET LOCATION WAS THE INFERIOR VENA CAVA (IVC). THE WOLF SMARTCLAW WAS ADVANCED INTO THE IVC CLOT AND INSIDE A PREVIOUSLY IMPLANTED NON-BSC STENT. THE WOLF SMARTCLAW BASKET WAS DEPLOYED AND AN INITIAL PASS WAS MADE THROUGH THE CLOT. AFTER REMOVAL FROM SHEATH, IT WAS OBSERVED THAT A WIRE IN THE BASKET HAD DETACHED. A NON-BSC WAS THEN USED TO COMPLETE THE PROCEDURE. THERE WERE NO PATIENT COMPLICATIONS AS A RESULT OF THE EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
12282 SMARTCLAW? PERIPHERAL MECHANICAL THROMBECTOMY WITH ASPIRATION QEW DEVORO MEDICAL INC. FD0660-02 0000200077 00850029546221

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown