FDA Adverse Event
Malfunction
Summary report: N
ZEBRA
MDR report key: 23989749
·
Received January 7, 2026
Report
- Report Number
- 23989749
- Event Type
- Malfunction
- Date Received
- January 7, 2026
- Date of Event
- October 8, 2025
- Report Date
- November 7, 2025
- Manufacturer
- Q'APEL MEDICAL, INC
- Product Code
- DQY
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
A VASCULAR CATHETER WAS THREADED THROUGH AN AORTIC STENT, AND THE CATHETER TIP WAS SHEARED OFF AND RETAINED WITHIN STENT AFTER TREATMENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 49206 | ZEBRA | CATHETER, PERCUTANEOUS | DQY | Q'APEL MEDICAL, INC | AC6074-095-30 | FG250806C-01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Male | Other |