UNKNOWN_NEUROVASCULAR_PRODUCT UNK_NEU

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a study report with the FDA on 2020-03-27 for UNKNOWN_NEUROVASCULAR_PRODUCT UNK_NEU manufactured by Stryker Neurovascular-utah-salt Lake City.

Event Text Entries

[185598338] This is the third of 3 reports. Subject device not available.
Patient Sequence No: 1, Text Type: N, H10


[185598339] It was reported that the patient presented with left stroke with m1 occlusion (nihss=15) by mir. Thrombectomy was performed with 7 attempts with stent retriever (3 stryker subject devices) and 4 non-stryker devices). Post-procedure there was immediate improvement (nihss=1). A few hours after the intervention, the patient experienced intense headache with left temporoparietal hematoma due to hemorrhagic stroke transformation (nihss=5) without immediate indication of surgery. The patient was transferred next day for monitoring and is still recovering from intracerebral hemorrhage. According to the physician, the relationship of the intracerebral hemorrhage was assessed as? Reasonable possibly to the experimental procedure?.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3012931345-2020-00048
MDR Report Key9890760
Report SourceSTUDY
Date Received2020-03-27
Date of Report2020-03-27
Date of Event2020-02-29
Date Mfgr Received2020-03-04
Date Added to Maude2020-03-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. TARA LOPEZ
Manufacturer Street47900 BAYSIDE PARKWAY
Manufacturer CityFREMONT CA 94538
Manufacturer CountryUS
Manufacturer Postal94538
Manufacturer Phone5104132500
Manufacturer G1STRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY
Manufacturer Street4870 WEST 2100 SOUTH
Manufacturer CitySALT LAKE CITY UT 84120
Manufacturer CountryUS
Manufacturer Postal Code84120
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN_NEUROVASCULAR_PRODUCT
Generic NameCATHETER, THROMBUS RETRIEVER
Product CodeNRY
Date Received2020-03-27
Catalog NumberUNK_NEU
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER NEUROVASCULAR-UTAH-SALT LAKE CITY
Manufacturer Address4870 WEST 2100 SOUTH SALT LAKE CITY UT 84120 US 84120


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-03-27

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