FDA Adverse Event
Injury
Summary report: N
WALRUS BALLOON GUIDE CATHETER
MDR report key: 23582587
·
Received November 18, 2025
Report
- Report Number
- MW5178968
- Event Type
- Injury
- Date Received
- November 18, 2025
- Date of Event
- November 5, 2025
- Report Date
- November 13, 2025
- Manufacturer
- Q'APEL MEDICAL, INC.
- Product Code
- QJP
- 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
DURING DEPLOYMENT OF A WALRUS CATHETER DURING A THROMBECTOMY, THE BALLOON TIP RUPTURED. (B)(6).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2363750 | WALRUS BALLOON GUIDE CATHETER | CATHETER, PERCUTANEOUS, NEUROVASCULATURE | QJP | Q'APEL MEDICAL, INC. | FG250709P-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 70 YR | Female | Hospitalization |