FDA Adverse Event
Malfunction
Summary report: N
SNIPER
MDR report key: 23568594
·
Received November 17, 2025
Report
- Report Number
- 23568594
- Event Type
- Malfunction
- Date Received
- November 17, 2025
- Date of Event
- September 16, 2025
- Report Date
- October 29, 2025
- Manufacturer
- EMBOLX, INC.
- Product Code
- MJN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
AFTER PLACED INTO THE PATIENT, THE BALLOON ON THE MICROCATHETER RUPTURED. THE CATHETER WAS REMOVED AND REPLACED WITH NO REPORTED HARM TO THE PATIENT. MANUFACTURER RESPONSE FOR VASCULAR INFUSION CATHETER WITH BALLOON OCCLUSION, DUAL LUMEN, 130CM SNIPER INFUSION CATHETER WITH BALLOON OCCLUSION, DUAL LUMEN, STRAIGHT TIP (PER SITE REPORTER).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2872909 | SNIPER | CATHETER, INTRAVASCULAR OCCLUDING, TEMPORARY | MJN | EMBOLX, INC. | SBC0629-STR-130 | EMX070725-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |