FDA Adverse Event Malfunction Summary report: N

LOBO VASCULAR OCCLUSION SYSTEM

MDR report key: 23999995 · Received January 7, 2026

Report

Report Number
3016444913-2025-00003
Event Type
Malfunction
Date Received
January 7, 2026
Date of Event
July 20, 2025
Report Date
January 7, 2026
Manufacturer
OKAMI MEDICAL INC.
Product Code
KRD
PMA / PMN Number
K220383
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO INJURY WAS ASSOCIATED WITH THE REPORTED INCIDENT, AND NO MEDICAL INTERVENTION WAS REQUIRED; THE DEVICE WAS LEFT IN SITU WITHOUT CLINICAL SEQUELAE. THE DEVICE WAS NOT RETURNED FOR EVALUATION, AND NO LOT NUMBER WAS PROVIDED; THEREFORE, NEITHER AN INVESTIGATION NOR A MANUFACTURING REVIEW COULD BE CONDUCTED.

Description of Event or Problem · 0

A PHYSICIAN REPORTED THAT FOLLOWING PLACEMENT AND DEPLOYMENT OF A LOBO VASCULAR OCCLUSION SYSTEM DEVICE (MODEL LOBO-7) DURING A SPLENIC ARTERY EMBOLIZATION PROCEDURE, THE DEVICE REMAINED STABLE AT THE INTENDED LOCATION. AFTER APPROXIMATELY ONE (1) MINUTE, THE DEVICE ALLEGEDLY APPEARED TO MOVE DISTALLY, WITH A SUBSEQUENT DISTAL MOVEMENT OCCURING APPROXIMATELY TWO (2) MINUTES LATER. THE TOTAL DISTAL DISPLACEMENT WAS ESTIMATED TO BE APPROXIMATELY 8-9CM, AT WHICH POINT THE DEVICE STABILIZED AT A BIFURCATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
59710 LOBO VASCULAR OCCLUSION SYSTEM VASCULAR EMBOLIZATION DEVICE KRD OKAMI MEDICAL INC. LOBO-7 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 28 YR Male