FDA Adverse Event Death Summary report: N

EKOSONIC KIT 106CM 12CM TZ

MDR report key: 10079521 · Received May 21, 2020

Report

Report Number
2134265-2020-06842
Event Type
Death
Date Received
May 21, 2020
Date of Event
April 1, 2020
Report Date
May 21, 2020
Manufacturer
BTG BOTHELL
Product Code
KRA
PMA / PMN Number
K182324
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

BEYER, S. E., SANAFELT, C., PINTO, D. S., WEINSTEIN, J. L., ARONOW, H. D., WEINBERG, I., CARROLL, B. J. (2020). UTILIZATION AND OUTCOMES OF THROMBOLYTIC. UTILIZATION AND OUTCOMES OF THROMBOLYTIC, CHEST(157), 645-653.

Description of Event or Problem · 1

REPORTED VIA JOURNAL ARTICLE, BLEEDING REQUIRING TRANSFUSION, SURGICAL THROMBECTOMY, AND IN HOSPITAL MORTALITY OCCURRED. THE PURPOSE OF THE ARTICLE IS TO EXAMINE PRACTICE PATTERNS OF SYSTEMIC THROMBOLYSIS AND CATHETER-DIRECTED THROMBOLYSIS (CDT) AND TO COMPARE OUTCOMES FOLLOWING CDT WITH ULTRASOUND FACILITATION (CDT-ULTRASOUND) AND CDT ALONE. ALTHOUGH VARIOUS FORMS OF CATHETER-DIRECTED THROMBOLYSIS (CDT) EXIST, THE BEST STUDIED AND ONLY DEVICE APPROVED BY THE US FOOD AND DRUG ADMINISTRATION FOR THE MANAGEMENT OF PE IS THE EKOSONIC ENDOVASCULAR SYSTEM (EKOS). ALTHOUGH THERE WERE CLEAR DIFFERENCES BETWEEN PATIENTS RECEIVING SYSTEMIC THROMBOLYSIS AND CDT, THERE WERE MINIMAL DIFFERENCES IN BASELINE PATIENT CHARACTERISTICS AND COMORBIDITIES BETWEEN CDT-ULTRASOUND AND CDT ALONE. IN ADDITION, ASSOCIATED HIGH-RISK FEATURES OF ACUTE PE, INCLUDING MECHANICAL VENTILATION, HYPOTENSION, SHOCK, AND VASOPRESSOR UTILIZATION, WERE SIMILAR. WE FOUND NO DIFFERENCES IN BLEEDING, IN-HOSPITAL MORTALITY, OR READMISSIONS BETWEEN CDT-ULTRASOUND AND CDT ALONE. NOTABLY, THE RATE OF MAJOR BLEEDING WAS SIMILAR TO THAT SEEN IN THE SEATTLE II TRIAL. RATES OF INTRACRANIAL HEMORRHAGE WERE LOW, AND THEY OCCURRED IN 0.6% OF PATIENTS RECEIVING CDT ULTRASOUND. NO FURTHER INFORMATION IS KNOWN REGARDING THE PATIENT EVENTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
543314 EKOSONIC KIT 106CM 12CM TZ CATHETER, CONTINUOUS FLUSH KRA BTG BOTHELL

Patients

Seq Age Sex Outcome Treatment
1