FDA Adverse Event Injury Summary report: N

INTHRILL SHEATH, 8FR, 6CM

MDR report key: 23500024 · Received November 7, 2025

Report

Report Number
3020347218-2025-00077
Event Type
Injury
Date Received
November 7, 2025
Date of Event
October 10, 2025
Report Date
December 2, 2025
Manufacturer
INARI MEDICAL, INC.
Product Code
QEW
UDI-DI
00850291007369
PMA / PMN Number
K223613
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INARI DEVICES WERE DISCARDED BY THE USER FACILITY AND ARE NOT AVAILABLE FOR EVALUATION. THE DEVICE IDENTIFIERS WERE NOT PROVIDED, HOWEVER, THE LOT HISTORY RECORDS OF ALL POTENTIAL LOTS WERE REVIEWED AND THERE WERE NO DISCREPANCIES OR UNUSUAL FINDINGS. BASED ON THE INFORMATION REVIEWED, THERE IS NO EVIDENCE TO INDICATE THE PRESENCE OF A POTENTIAL QUALITY ISSUE WITH RESPECT TO MANUFACTURING, DESIGN, OR LABELING. THE CASE WAS REVIEWED BY INARI STRYKER MEDICAL AFFAIRS TEAM, WHO CONCLUDED THAT THE INARI DEVICES COULD NOT BE RULED OUT AS CONTRIBUTORY TO THE EVENT. THE DEVICE LABELING INCLUDES VESSEL DISSECTION AND VESSEL PERFORATION AS POTENTIAL COMPLICATIONS. MANUFACTURER REFERENCE # (B)(4).

Additional Manufacturer Narrative · 0

G1 "REPORTING CONTACT" SHOULD READ "(B)(4).

Description of Event or Problem · 0

ON (B)(6) 2025, A PATIENT UNDERWENT UPPER EXTREMITY DEEP VEIN THROMBOSIS THROMBECTOMY USING INARI DEVICES. DURING THE PROCEDURE, THE PHYSICIAN HAD DIFFICULTY ANGLING THE INTHRILL SHEATH DUE TO THE PATIENT'S PREEXISTING ARTERIOVENOUS GRAFT. CONTRAST EXTRAVASATION WAS NOTICED ON FLUOROSCOPY AROUND THE ANASTOMOSIS. THE EXTRAVASATION WAS TREATED WITH IMPLANTING A STENT GRAFT. FINAL IMAGING SHOWED GOOD BLOOD FLOW THROUGH THE GRAFT.

Description of Event or Problem · 0

ON (B)(6) 2025, A PATIENT UNDERWENT UPPER EXTREMITY DEEP VEIN THROMBOSIS THROMBECTOMY USING INARI DEVICES. DURING THE PROCEDURE, THE PHYSICIAN HAD DIFFICULTY ANGLING THE INTHRILL SHEATH DUE TO THE PATIENT'S PREEXISTING ARTERIOVENOUS GRAFT. CONTRAST EXTRAVASATION WAS NOTICED ON FLUOROSCOPY AROUND THE ANASTOMOSIS. THE EXTRAVASATION WAS TREATED WITH IMPLANTING A STENT GRAFT. FINAL IMAGING SHOWED GOOD BLOOD FLOW THROUGH THE GRAFT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1923966 INTHRILL SHEATH, 8FR, 6CM PERIPHERAL MECHANICAL THROMBECTOMY WITH ASPIRATION QEW INARI MEDICAL, INC. 53-101 UNKNOWN 00850291007369

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention