TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STENT SYSTEM
Report
- Report Number
- 2134265-2008-00495
- Event Type
- Malfunction
- Date Received
- February 20, 2008
- Report Date
- February 13, 2008
- Manufacturer
- BOSTON SCIENTIFIC
- Product Code
- NIQ
- PMA / PMN Number
- P030025
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
Narratives
INITIAL VISUAL EXAMINATION OF THE RETURNED DEVICE FOUND THAT THE DEVICE WAS RETURNED INSERTED IN THE GUIDE CATHETER. VISUAL AND MICROSCOPIC EXAMINATION OF THE STENT REVEALED PROXIMAL STENT DAMAGE. SOME OF THE STRUTS WERE BENT BACK DISTALLY. THE DAMAGE FOUND ON THE STENT WAS MEASURED USING A SNAP GAUGE AT 1.62MM. THE AREA WHERE THERE WAS NO DAMAGE FOUND ON THE STENT WAS MEASURED AT 1.18MM. A REVIEW OF THE DEVICE HISTORY RECORD (DHR) FOR THIS BATCH FOUND THAT THE DEVICE MET ITS MATERIAL, ASSEMBLY AND PRODUCT SPECIFICATIONS AT THE TIME OF RELEASE TO DISTRIBUTION. THE MOST PROBABLE ROOT CAUSE OF THIS DEFECT WILL BE DOCUMENTED AS OPERATIONAL CONTEXT DUE TO THE LIKELIHOOD THAT THE PT ANATOMY OR OTHER PROCEDURAL FACTORS CONTRIBUTED TO THE REPORTED DIFFICULTY.
THIS COMPLAINT IS NOW REPORTABLE BASED ON THE ANALYSIS COMPLETED IN 2008. IT WAS REPORTED THAT DURING A CORONARY ARTERY DRUG ELUTING STENTING PROCEDURE, BALLOON INFLATION DIFFICULTIES OCCURRED. A 3.0X16MM TAXUS EXPRESS2 DRUG ELUTING STENT (DES) HAD BEEN CROSSED TO TREAT AN UNSPECIFIED TARGET LESION. THE "BALLOON WOULD NOT INFLATE, AND THE STENT WOULD NOT DEPLOY." THE DEVICE WAS REMOVED AND THE PROCEDURE WAS COMPLETED WITH ANOTHER 3.0X16MM TAXUS EXPRESS2 DES. THERE WERE NO PT COMPLICATIONS REPORTED WITH THE PT'S CURRENT CONDITION LISTED AS "OK." HOWEVER, THE RETURNED PRODUCT CONFIRMED THERE WAS STENT DAMAGE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STENT SYSTEM | NIQ STENT, CORONARY, DRUG-ELUTING | NIQ | BOSTON SCIENTIFIC | 3.0X16MM | 11072504 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |