TRIEVER24, 24FR, 90CM
Report
- Report Number
- 3020347218-2025-00084
- Event Type
- Injury
- Date Received
- November 25, 2025
- Date of Event
- October 28, 2025
- Report Date
- November 25, 2025
- Manufacturer
- INARI MEDICAL, INC.
- Product Code
- QEW
- UDI-DI
- 00850291007185
- PMA / PMN Number
- K213402
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
THE INARI DEVICES WERE DISCARDED BY THE USER FACILITY AND ARE NOT AVAILABLE FOR EVALUATION. THE DEVICE IDENTIFIERS WERE NOT PROVIDED, THE LOT HISTORY RECORDS OF ALL POTENTIAL LOTS SHIPPED TO THE FACILITY WERE REVIEWED. THERE WERE NO DISCREPANCIES OR UNUSUAL FINDINGS. THE CASE WAS REVIEWED BY INARI STRYKER MEDICAL AFFAIRS, WHO CONCLUDED THAT THE PATIENT¿S INJURY WAS LIKELY THE RESULT OF INADVERTENT CATHETER PERFORATION. THE DEVICE LABELING LISTS PERFORATION OF PULMONARY ARTERIES, AND VESSEL DISSECTION/PERFORATION AS POSSIBLE COMPLICATIONS/ADVERSE EVENTS. MANUFACTURER REFERENCE NUMBER (B)(4).
ON (B)(6) 2025, A 75-YEAR-OLD MALE UNDERWENT PULMONARY EMBOLISM (PE) THROMBECTOMY. THE PATIENT HAD SPINE SURGERY TWO DAYS BEFORE THE THROMBECTOMY AND THE PATIENT WAS SCHEDULED TO HAVE A MASS REMOVED THE DAY FOLLOWING THE THROMBECTOMY. AFTER ACCESSING THE RIGHT SIDE, THE MEDICAL TEAM HAD TROUBLE KEEPING THE WIRE PLACEMENT ON THE RIGHT SIDE AS THE PATIENT'S PULMONARY ARTERIES WERE ENLARGED. THE TRIEVER24 CATHETER (T24) FLIPPED WHEN THE DILATOR WAS REMOVED BEFORE THE FIRST RIGHT SIDE ASPIRATIONS. THE CATHETER WAS ADJUSTED TO THE CORRECT PLACEMENT AND THE PROCEDURE CONTINUED. BEFORE THE THIRD ASPIRATION, THE CATHETER WAS ADVANCED WITH THE TIP OF THE GUIDEWIRE OUTSIDE OF THE CATHETER. THE PATIENT'S PRESSURES STARTED TO DROP, AND THE PATIENT WAS ADMINISTERED VASOPRESSORS. THE PATIENT WAS THEN INTUBATED AND A CODE BLUE WAS CALLED. THE PATIENT HAD HIS CHEST CRACKED AND A SMALL PERFORATION WAS NOTED. THE PATIENT WAS EVENTUALLY STABILIZED AND WAS LATER DISCHARGED HOME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2671351 | TRIEVER24, 24FR, 90CM | PERIPHERAL MECHANICAL THROMBECTOMY WITH ASPIRATION | QEW | INARI MEDICAL, INC. | 22-101 | UNKNOWN | 00850291007185 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Male | Required Intervention| L |