FDA Adverse Event Injury Summary report: N

CAT RX ARTERIAL THROMBECTOMY DEVICE

MDR report key: 23255239 · Received October 9, 2025

Report

Report Number
MW5177100
Event Type
Injury
Date Received
October 9, 2025
Date of Event
October 3, 2025
Report Date
October 3, 2025
Manufacturer
PENUMBRA, INC.
Product Code
QEX
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
AZ, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

INITIAL INTERVENTION: BALLOON ANGIOPLASTY WAS PERFORMED USING A 3 X 40 MM PTA BALLOON, WHICH IMPROVED THE VASCULAR CONDITION. COMPLICATION: EMBOLIC MATERIAL WAS SUBSEQUENTLY FOUND IN THE LATERAL PLANTAR PTA BRANCH OF THE FOOT. FIRST ATTEMPT: A CAT RX PENUMBRA THROMBECTOMY DEVICE WAS USED FOR PERCUTANEOUS MECHANICAL THROMBECTOMY. THE CATHETER BROKE OUTSIDE THE PATIENT AND SHEATH, ALLOWING EASY REMOVAL. SECOND ATTEMPT: A NEW CAT RX DEVICE WAS DEPLOYED. UPON REMOVAL, THIS CATHETER ALSO BROKE, WITH THE PROXIMAL END REMAINING INSIDE THE SHEATH. ESCALATION: AFTER REMOVING THE SHEATH, THE CATHETER'S PROXIMAL END WAS FOUND IN THE LEFT EXTERNAL ILIAC ARTERY. RETRIEVAL EFFORTS: A SHORT 7 FRENCH SHEATH WAS PLACED IN THE LEFT GROIN. MULTIPLE SNARE DEVICES (MICRO SNARE AND 3-LOBE SNARE) WERE USED UNSUCCESSFULLY. RESOLUTION: A PERCUTANEOUS CUTDOWN OF THE RIGHT COMMON FEMORAL ARTERY WAS PERFORMED TO PHYSICALLY RETRIEVE THE BROKEN CATHETER. REFERENCE REPORT MW5177101.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
311876 CAT RX ARTERIAL THROMBECTOMY DEVICE CORONARY MECHANICAL THROMBECTOMY WITH ASPIRATION QEX PENUMBRA, INC. F00016467

Patients

Seq Age Sex Outcome Treatment
1 Male Required Intervention