FDA Adverse Event Malfunction Summary report: N

SENDERO MAX DELIVERY CATHETER

MDR report key: 24031708 · Received January 12, 2026

Report

Report Number
3016444913-2026-00001
Event Type
Malfunction
Date Received
January 12, 2026
Date of Event
December 11, 2025
Report Date
January 9, 2026
Manufacturer
OKAMI MEDICAL INC.
Product Code
DQY
PMA / PMN Number
K242644
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

NO SERIOUS INJURY WAS ASSOCIATED WITH THE REPORTED INCIDENT, AND NO MEDICAL INTERVENTION WAS REQUIRED. THE PROCEDURE WAS COMPLETED WITHOUT FURTHER INCIDENT, AND NO ADDITIONAL ADVERSE EVENTS WERE REPORTED FOR THE PATIENT. A DHR REVIEW REVEALED NO DEVIATIONS FROM THE MANUFACTURING PROCESS THAT COULD HAVE CONTRIBUTED TO THE REPORTED INCIDENT.

Description of Event or Problem · 0

A REPRESENTATIVE REPORTED THAT A MINOR VESSEL DISSECTION OCCURRED DURING A PAVM PROCEDURE INVOLVING THE USE OF A SENDERO MAX DELIVERY CATHETER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
97119 SENDERO MAX DELIVERY CATHETER CATHETER, PERCUTANEOUS DQY OKAMI MEDICAL INC. SENDERO-MAX55-110MP 25K0004

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown