FDA Adverse Event
Injury
Summary report: N
ENDEAVOR SPRINT RX
MDR report key: 1062098
·
Received June 18, 2008
Report
- Report Number
- 2953200-2008-00432
- Event Type
- Injury
- Date Received
- June 18, 2008
- Date of Event
- May 16, 2008
- Report Date
- May 20, 2008
- Manufacturer
- MEDTRONIC CARDIOVASCULAR GALWAY
- Product Code
- NIQ
- PMA / PMN Number
- P060033
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- GM
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
EVAL, RESULTS AND CONCLUSION: (LACK OF INFO).
Description of Event or Problem · 1
IT WAS REPORTED THAT ONE ENDEAVOR SPRINT STENT WAS IMPLANTED (3.0 X 15MM) TO TREAT THE PROXIMAL LEFT CIRCUMFLEX ARTERY. THE SAME DAY AS IMPLANT THE PT SUFFERED AN ACUTE NON-STEMI. THE INVESTIGATOR HAS INDICATED THAT THE LOCATION OF THE INFARCTION WAS POSTERIOR OF THE TARGET LESION. MODERATE CHEST PAIN AFTER INTERVENTION POSSIBLY DUE TO PERIPHERAL CORONARY EMBOLUS. NO ECG CHANGES DURING FIRST 5 HOURS NO ENZYME RISE PT AT THE TIME WITHOUT COMPLAINTS 12 HOURS LATER MODERATE ENZYME RISE. THE INVESTIGATOR ASSESSED THE EVENT AS A NON Q-WAVE MI & THAT THE EVENT WAS UNRELATED TO THE STENT. PLEASE NOTE THAT THIS DEVICE IS NOT DISTRIBUTED IN THE UNITED STATES
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ENDEAVOR SPRINT RX | NIQ | MEDTRONIC CARDIOVASCULAR GALWAY | NA | 0000520199 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Required Intervention |