FDA Adverse Event Injury Summary report: N

TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STENT SYSTEM

MDR report key: 1083446 · Received July 29, 2008

Report

Report Number
2134265-2008-02118
Event Type
Injury
Date Received
July 29, 2008
Report Date
July 4, 2008
Manufacturer
BOSTON SCIENTIFIC
Product Code
NIQ
PMA / PMN Number
P030025
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
UNKNOWN

Narratives

Additional Manufacturer Narrative · 1

AS THE UNIT HAS NOT BEEN RETURNED, A TECHNICAL ANALYSIS WAS UNABLE TO BE PERFORMED. AS THE BATCH NUMBER IS UNK, A REVIEW OF THE MFG RECORDS CANNOT BE PERFORMED. THE MOST PROBABLE ROOT CAUSE IS CLASSIFIED AS ANTICIPATED PROCEDURAL COMPLICATION AS THE DEVICE RELATED ROOT CAUSE DOES NOT APPLY, AND THE COMPLAINT IS DUE TO A KNOWN PHYSIOLOGICAL EFFECT OF THE PROCEDURE NOTED WITHIN THE DFU, AND/OR DEVICE LABELING.

Description of Event or Problem · 1

IT WAS REPORTED THAT POST A CORONARY DRUG ELUTING STENTING TREATMENT PROCEDURE, RESTENOSIS OCCURRED. THE PHYSICIAN IMPLANTED A TAXUS EXPRESS2 DRUG ELUTING STENT, UNK SIZE, TO THE POSTERIOR DESCENDING RIGHT CORONARY ARTERY (RCA). THE STENT WAS WELL POSITIONED AND WELL APPOSED. ASPIRIN AND PANALDINE WERE PRESCRIBED POST PROCEDURE. THE PT RETURNED WITH 90% IN-STENT RESTENOSIS IN THE POSTERIOR DESCENDING RCA. THE RESTENOSIS WAS TREATED WITH BALLOON DILATATION, UNK TYPE AND SIZE BALLOON. THE TIME FROM IMPLANTATION TO RESTENOSIS IS UNK. ADD'L INFO REGARDING THIS EVENT IS NOT AVAILABLE.

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

Patients

Seq Age Sex Outcome Treatment
1 Required Intervention