FDA Adverse Event
Injury
Summary report: N
DELIVERY CATHETER SSPC3
MDR report key: 23639324
·
Received November 24, 2025
Report
- Report Number
- 2124215-2025-86219
- Event Type
- Injury
- Date Received
- November 24, 2025
- Date of Event
- November 11, 2025
- Report Date
- November 24, 2025
- Manufacturer
- CENTERPOINT SYSTEMS
- Product Code
- DQY
- UDI-DI
- 00810024670031
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
IT WAS REPORTED THAT THIS CATHETER WAS CANNULATED IN THE SUBCLAVIAN ARTERY WITH THE WIRE ASCENDING DOWN THE AORTA. THE PATIENT REPORTED TO HAVE EXPERIENCED BACK PAIN. FURTHER IMAGING WAS COMPLETED AND IDENTIFIED AN ANEURYSM PRESENT. THE ANEURYSM WAS SUCCESSFULLY TREATED AND THE PATIENT WAS DISCHARGED. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 313675 | DELIVERY CATHETER SSPC3 | CATHETER, PERCUTANEOUS | DQY | CENTERPOINT SYSTEMS | 9183 | CL14036 | 00810024670031 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention| H |