FDA Adverse Event Malfunction Summary report: N

PROWLER SELECT

MDR report key: 24930902 · Received April 20, 2026

Report

Report Number
3008114965-2026-00536
Event Type
Malfunction
Date Received
April 20, 2026
Date of Event
April 10, 2026
Report Date
May 26, 2026
Manufacturer
MEDOS INTERNATIONAL SARL
Product Code
QJP
UDI-DI
10886704028888
PMA / PMN Number
K210838
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURER¿S REF. NO: (B)(4). INFORMATION REGARDING PATIENT IDENTIFIER, DATE OF BIRTH, AGE, SEX, GENDER, WEIGHT, RACE, AND ETHNICITY WERE NOT PROVIDED. SECTION E.1: THE INITIAL REPORTER PHONE: (B)(6). SECTION H.3: THE DEVICE IS AVAILABLE TO BE RETURNED FOR EVALUATION AND TESTING. HOWEVER, IT HAS NOT BEEN RECEIVED TO DATE. IF THE DEVICE RETURNS, A DEVICE INVESTIGATION WILL BE PERFORMED. A REVIEW OF MANUFACTURING DOCUMENTATION ASSOCIATED WITH THIS LOT (31663264) PRESENTED NO ISSUES DURING THE MANUFACTURING OR INSPECTION PROCESSES RELATED TO THE REPORTED COMPLAINT. THERE WERE NO INTERNAL ACTIONS RELATED TO DEVICE MANUFACTURE OR INSPECTION. THIS REPORT IS BEING SUBMITTED PURSUANT TO THE PROVISIONS OF 21 CFR, PART 803. THIS REPORT MAY BE BASED ON INFORMATION WHICH HAS NOT BEEN INVESTIGATED OR VERIFIED PRIOR TO THE REQUIRED REPORTING DATE. THIS REPORT DOES NOT REFLECT A CONCLUSION BY CERENOVUS, OR ITS EMPLOYEES THAT THE REPORT CONSTITUTES AN ADMISSION THAT THE PRODUCT, CERENOVUS, OR ITS EMPLOYEES CAUSED OR CONTRIBUTED TO THE POTENTIAL EVENT DESCRIBED IN THIS REPORT. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE. THE MANUFACTURER WILL SUBMIT A SUPPLEMENTAL REPORT IF NEW FACTS ARISE WHICH MATERIALLY ALTER INFORMATION SUBMITTED IN A PREVIOUS MDR REPORT. ADDITIONAL INFORMATION WILL BE SUBMITTED WITHIN 30 DAYS OF RECEIPT.

Description of Event or Problem · 0

THE HEALTHCARE PROFESSIONAL REPORTED THAT DURING AN ENDOVASCULAR EMBOLIZATION PROCEDURE, THE 4.5MM X 22MM ENTERPRISE (ENC452212 / 9872895) WAS IMPEDED IN THE DISTAL END OF THE ASSOCIATED 150CM X 5CM PROWLER SELECT PLUS MICROCATHETER (606S255X / 31663264) AND COULD NOT PASS THROUGH THE MICROCATHETER. THE PHYSICIAN RETRACTED THE STENT AND REPLACED IT WITH A 4.5MM X 28MM ENTERPRISE® VASCULAR RECONSTRUCTION DEVICE (ENC452812 / 9872897). THE SECOND STENT ENCOUNTERED THE SAME ISSUE AS THE FIRST STENT. THE PHYSICIAN REMOVED THE STENT AND THEN REMOVED THE MICROCATHETER FROM THE PATIENT; THE PHYSICIAN REPLACED BOTH DEVICES TO COMPLETE THE PROCEDURE. IT WAS REPORTED THAT BOTH STENTS WERE REMOVED WITHOUT ISSUE, THE STENT COMPONENTS WERE STILL ATTACHED TO THEIR RESPECTIVE DELIVERY WIRES. THE REPLACEMENT STENT WAS ANOTHER 4.5MM X 28MM ENTERPRISE® VASCULAR RECONSTRUCTION DEVICE (ENC452812). THERE WAS NO REPORT OF ANY NEGATIVE PATIENT IMPACT. ON 15-APR-2026, ADDITIONAL INFORMATION WAS RECEIVED. THE INFORMATION INDICATED THE PROCEDURE WAS TARGETING AN ANEURYSM ON THE C6 SEGMENT OF THE INTERNAL CAROTID ARTERY (ICA). AN ADEQUATE CONTINUOUS FLUSH WAS MAINTAINED THROUGH THE MICROCATHETER. THERE WAS NO DAMAGE NOTED ON THE STENTS / STENT DELIVERY SYSTEMS. THERE WAS ALSO NO DAMAGE NOTED ON THE MICROCATHETER WHEN IT WAS REMOVED. THE REPLACEMENT MICROCATHETER WAS ANOTHER 150CM X 5CM PROWLER SELECT PLUS MICROCATHETER (606S255X). THE INFORMATION CONFIRMED THERE WAS NO NEGATIVE PATIENT IMPACT AND NO CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE RESULTED FROM THE REPORTED ISSUE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
156038 PROWLER SELECT CATHETER, PERCUTANEOUS, NEUROVASCULATURE QJP MEDOS INTERNATIONAL SARL 31663264 10886704028888

Patients

Seq Age Sex Outcome Treatment
1