FDA Adverse Event Injury Summary report: N

EVOLUTION® BILIARY CONTROLLED-RELEASE STENT - FULLY COVERED

MDR report key: 15455371 · Received September 20, 2022

Report

Report Number
3001845648-2022-00655
Event Type
Injury
Date Received
September 20, 2022
Report Date
April 13, 2023
Manufacturer
COOK IRELAND LTD
Product Code
FGE
PMA / PMN Number
K121430
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION IS STILL PENDING, A FOLLOW UP MDR WILL BE SUBMITTED TO INCLUDE THE INVESTIGATION CONCLUSIONS.

Additional Manufacturer Narrative · 0

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED AS A CANCELLATION PR IS NO LONGER REQUIRED AND WILL BE CAPTURED UNDER (B)(4) (3001845648-2022-00654).

Description of Event or Problem · 0

KOBAYASHI ET AL 2021 ¿COMPARISON OF PLASTIC STENT VERSUS METAL STENT IN PREOPERATIVE BILIARY DRAINAGE FOR PANCREATIC HEAD CANCER WITH NEOADJUVANT CHEMORADIOTHERAPY¿. IN THE PS GROUP, 7- FR, 7- CM STRAIGHT TYPE BILIARY STENTS (FLEXIMA; BOSTON SCIENTIFIC, NATICK, MA, USA) OR BOTH- END PIGTAIL- TYPE BILIARY STENTS (ZIMMON; COOK MEDICAL, BLOOMINGTON IN, USA) WERE USED WITHOUT ENDOSCOPIC SPHINC-TEROTOMY (EST). IN THE MS GROUP, 8- MM, 8- CM FULLY- COVERED SELF- EXPANDABLE METAL STENTS (FCSEMS, WALL FLEX; BOSTON SCIENTIFIC, BONASTENT; MEDICO¿S HIRATA OR EVOLUTION; COOK MEDICAL) WERE PLACED AFTER PERFORMING EST. THERE WERE 22 PATIENTS IN THE PS GROUP AND 21 PATIENTS IN THE MS GROUP. RE- INTERVENTIONAL DRAINAGE (MS GROUP).

Description of Event or Problem · 0

THIS SUPPLEMENTAL REPORT IS BEING SUBMITTED AS A CANCELLATION PR IS NO LONGER REQUIRED AND WILL BE CAPTURED UNDER (B)(4) (3001845648-2022-00654).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2502198 EVOLUTION® BILIARY CONTROLLED-RELEASE STENT - FULLY COVERED FGE CATHETER, BILIARY, DIAGNOSTIC - BILIARY STENT - METAL FGE COOK IRELAND LTD UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 72 YR Unknown Required Intervention