FDA Adverse Event Malfunction Summary report: N

MULTI-LINK RX ZETA CORONARY STENT SYSTEM

MDR report key: 1070973 · Received July 3, 2008

Report

Report Number
2024168-2008-00547
Event Type
Malfunction
Date Received
July 3, 2008
Date of Event
June 13, 2008
Report Date
June 13, 2008
Manufacturer
ABBOTT VASCULAR-CARDIAC THERAPIES
Product Code
MAF
PMA / PMN Number
P970020
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

RESULTS AND CONCLUSION SUMMATION-PRODUCT PERFORMANCE ENGINEERING REVIEWED THE INCIDENT INFO. ADD'L INFO REC'D STATED THAT THE STENT HAD BEEN POSITIONED INCORRECTLY ON THE BALLOON. HOWEVER, IT IS UNCLEAR WHETHER THE STENT WAS LOOSE OR TIGHTLY CRIMPED ONTO THE BALLOON. FACTORS THAT CONTRIBUTE TO THE STENT MOVEMENT/DISLODGEMENT OUTSIDE THE BODY INCLUDE, BUT ARE NOT LIMITED TO, POSITIVE PRESSURE DURING PREP, NEGATIVE PRESSURE DURING SHEATH REMOVAL, FORCED SHEATH REMOVAL, IMPROPER OR INADEQUATE CRIMPING AT THE TIME OF MFR, AND HANDLING OF THE STENT DURING PREP. UNFORTUNATELY, WITHOUT THE DEVICE TO EXAMINE, A CONCLUSIVE ROOT CAUSE FOR THE REPORTED DISCREPANCY COULD NOT BE DETERMINED.

Description of Event or Problem · 1

REPORTING STATUS: MALFUNCTION. REPORTING RATIONALE: LOOSE STENT HAS PREVIOUSLY CAUSED OR CONTRIBUTED TO PT INJURY. DEVICE ISSUE: LOOSE STENT. IT WAS REPORTED THAT AFTER SUCTIONING THE THROMBUS, THE 2.75 X 18 ZETA WAS PREPARED FOR USE; HOWEVER, THE STENT HAD MOVED. IT IS NOT CLEAR WHICH WAY (DISTAL OR PROXIMAL) AND HOW MUCH THE STENT HAD MOVED. A NEW DEVICE WAS SELECTED TO COMPLETE THE PROCEDURE. NO ADD'L EVENT OR PT INFO IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MULTI-LINK RX ZETA CORONARY STENT SYSTEM MAF ABBOTT VASCULAR-CARDIAC THERAPIES NA 7112131

Patients

Seq Age Sex Outcome Treatment
1 UNK