FDA Adverse Event Injury Summary report: N

ZILVER 635 SELF-EXPANDING BILIARY STENT

MDR report key: 15299879 · Received August 26, 2022

Report

Report Number
3001845648-2022-00583
Event Type
Injury
Date Received
August 26, 2022
Date of Event
September 8, 2014
Report Date
January 13, 2023
Manufacturer
COOK IRELAND LTD
Product Code
FGE
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

PMA/510(K) #K182980. INVESTIGATION IS STILL PENDING, A FOLLOW UP MDR WILL BE SUBMITTED TO INCLUDE THE INVESTIGATION CONCLUSIONS.

Additional Manufacturer Narrative · 0

PMA/510(K) #K182980. INVESTIGATION IS STILL PENDING, A FOLLOW UP MDR WILL BE SUBMITTED TO INCLUDE THE INVESTIGATION CONCLUSIONS.

Additional Manufacturer Narrative · 0

PMA/510(K) #K182980. DEVICE EVALUATION: THE ZIB6-40-10-8.0 DEVICE OF LOT NUMBER C950985 INVOLVED IN THIS COMPLAINT WAS NOT AVAILABLE FOR EVALUATION. WITH THE INFORMATION PROVIDED, A DOCUMENT-BASED INVESTIGATION WAS CONDUCTED. DOCUMENT REVIEW: PRIOR TO DISTRIBUTION ALL ZIB6-40-10-8.0 DEVICES ARE SUBJECTED TO A VISUAL INSPECTION AND FUNCTIONAL INSPECTION TO ENSURE DEVICE INTEGRITY. A REVIEW OF THE MANUFACTURING RECORDS DID NOT REVEAL ANY DISCREPANCIES THAT COULD HAVE CONTRIBUTED TO THIS COMPLAINT ISSUE. THE REVIEW OF THE RELEVANT MANUFACTURING RECORDS CONFIRMS THE FAILURE MODE HAS NOT PREVIOUSLY OCCURRED FOR THIS WORK ORDER. IT SHOULD BE NOTED THAT THE INSTRUCTIONS FOR USE (IFU0040) LISTS STENT MIGRATION AS A POTENTIAL ADVERSE EVENT. THERE IS NO EVIDENCE TO SUGGEST THE USER DID NOT FOLLOW THE IFU. THERE IS NO EVIDENCE TO SUGGEST THAT THE CUSTOMER DID NOT FOLLOW THE LABEL. IMAGE REVIEW: AN IMAGE WAS NOT RETURNED FOR EVALUATION. ROOT CAUSE REVIEW: A DEFINITIVE ROOT CAUSE COULD NOT BE DETERMINED HOWEVER A POSSIBLE ROOT CAUSE COULD BE ATTRIBUTED TO KNOWN POTENTIAL COMPLICATIONS. THE IFU LISTS STENT MIGRATION AS A POTENTIAL ADVERSE EVENT. SUMMARY: THE COMPLAINT IS CONFIRMED BASED ON CUSTOMER TESTIMONY. THE COMPLAINT WAS RAISED FROM THE ATTACHED POST-MARKET CLINICAL STUDY ¿ZILVER 635 BILIARY SELF-EXPANDING METAL STENT & STENT SETS¿. ACCORDING TO THE INITIAL REPORTER, THE MIGRATION MAY HAVE CAUSED BLEEDING. COMPLAINTS OF THIS NATURE WILL CONTINUE TO BE MONITORED FOR POTENTIAL EMERGING TRENDS.

Description of Event or Problem · 0

STENT PARTIALLY DISLOCATED. RESOLVED. NEW STENT PLACED.

Description of Event or Problem · 0

SUPPLEMENTAL MDR BEING SUBMITTED DUE TO RECEIPT OF UPDATED CC FORM RECEIVED 26-AUG-22. LOT#, PATIENT INFO, PATIENT OUTCOME (E CODE) AND EVENT DESCRIPTION UPDATED: STENT PARTIALLY DISLOCATED. CC FORM RECEIVED ON 26-AUG-22: MDR-2098: OTHER DEVICE ISSUE (BILIARY STENT): STENT PARTIALLY DISLOCATED; IDENTIFIED ON IMAGING SITE ASSESSED EVENT AS POSSIBLY RELATED TO THE STUDY STENT AND NOTED THE FOLLOWING, ¿STENT WAS DISLOCATED MAYBE THE CAUSE OF BLEEDINGS¿ SITE INDICATED THAT THE EVENT WAS NOT DUE TO A DEVICE DEFICIENCY.

Description of Event or Problem · 0

SUPPLEMENTAL REPORT IS BEING SUBMITTED DUE TO THE COMPLETION OF THE INVESTIGATION ON 13-JAN-2023.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
472221 ZILVER 635 SELF-EXPANDING BILIARY STENT FGE CATHETER, BILIARY, DIAGNOSTIC - BILIARY STENT - METAL FGE COOK IRELAND LTD C9509985

Patients

Seq Age Sex Outcome Treatment
1 Female Required Intervention