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