FDA Adverse Event Injury Summary report: N

ENDEAVOR SPRINT RX CORONARY STENT SYSTEM

MDR report key: 1080738 · Received July 23, 2008

Report

Report Number
2953200-2008-00575
Event Type
Injury
Date Received
July 23, 2008
Date of Event
May 22, 2008
Report Date
June 23, 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
UK
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVAL RESULTS - OTHER: (LACK OF INFO), (MYOCARDIAL INFARCION).

Description of Event or Problem · 1

ONE ENDEAVOR SPRINT RX STENT (3.00 X 12MM) WAS IMPLANTED AT THE PROXIMAL LAD AND 3 ENDEAVOR SPRINT RX STENTS (2.5 X 08MM, 2.5 X 24MM, 2.25 X 12MM) WERE IMPLANTED AT THE DISTAL LAD. (MFR REPORT # 2953200-2008-00575 - 00578). INVESTIGATOR HAS INDICATED THAT AN ACUTE NON-STEMI WAS SUFFERED ON THE SAME DAY AS IMPLANT. THE PT WAS ASYMPTOMATIC AT THE 30 DAY FOLLOW-UP STAGE. PLEASE NOTE THAT THIS DEVICE IS NOT DISTRIBUTED IN THE US.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDEAVOR SPRINT RX CORONARY STENT SYSTEM NIQ MEDTRONIC CARDIOVASCULAR GALWAY NA 0000531448

Patients

Seq Age Sex Outcome Treatment
1 UNK