FDA Adverse Event Malfunction Summary report: N

COOK CELECT PLATINUM NAVALIGN UNISET VENA CAVA FILTER SET

MDR report key: 24647023 · Received March 20, 2026

Report

Report Number
3002808486-2026-00044
Event Type
Malfunction
Date Received
March 20, 2026
Date of Event
February 26, 2026
Report Date
May 21, 2026
Manufacturer
WILLIAM COOK EUROPE
Product Code
DTK
UDI-DI
00827002355811
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CN
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURERS REF # (B)(4). G4) PMA/510(K): K233680. INVESTIGATION IS STILL IN PROGRESS. THIS REPORT IS REQUIRED BY THE FDA UNDER 21CFR PART 803. THIS REPORT IS BASED ON UNCONFIRMED INFORMATION SUBMITTED BY OTHERS. NEITHER THE SUBMISSION OF THIS REPORT NOR ANY STATEMENT MADE IN IT IS INTENDED TO BE AN ADMISSION THAT ANY COOK DEVICE IS DEFECTIVE OR MALFUNCTIONED; THAT A DEATH OR SERIOUS INJURY OCCURRED; OR THAT ANY COOK DEVICE CAUSED OR CONTRIBUTED TO; OR IS LIKELY TO CAUSE OR CONTRIBUTE TO A DEATH OR SERIOUS INJURY IF A MALFUNCTION OCCURRED.

Description of Event or Problem · 0

DESCRIPTION OF EVENT ACCORDING TO INITIAL REPORTER: THE SHEATH ENCOUNTERED RESISTANCE DURING ADVANCEMENT, PREVENTING FILTER DEPLOYMENT. PATIENT OUTCOME: A SECTION OF THE DEVICE DID NOT REMAIN INSIDE THE PATIENT¿S BODY. THE PATIENT DID NOT REQUIRE ANY ADDITIONAL PROCEDURES DUE TO THIS OCCURRENCE. ACCORDING TO THE INITIAL REPORTER, THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EFFECTS DUE TO THIS OCCURRENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
458146 COOK CELECT PLATINUM NAVALIGN UNISET VENA CAVA FILTER SET DTK FILTER, INTRAVASCULAR, CARDIOVASCULAR DTK WILLIAM COOK EUROPE G35581 E4744995 00827002355811

Patients

Seq Age Sex Outcome Treatment
1