FDA Adverse Event Injury Summary report: N

SYNERGY

MDR report key: 16321134 · Received February 8, 2023

Report

Report Number
2124215-2023-04382
Event Type
Injury
Date Received
February 8, 2023
Date of Event
January 17, 2022
Report Date
June 21, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
NIQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

INITIAL REPORTER FACILITY NAME: (B)(6).

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER FACILITY NAME: (B)(6) UNIVERSITY.

Additional Manufacturer Narrative · 0

E1 - INITIAL REPORTER FACILITY NAME: (B)(6).

Description of Event or Problem · 0

SYNERGY CHINA REGISTRY. IT WAS REPORTED THAT CORONARY ATHEROSCLEROTIC HEART DISEASE OCCURRED. IN (B)(6) 2020, THE SUBJECT INDEX PROCEDURE WAS PERFORMED. THE TARGET LESION 1 WAS LOCATED IN THE PROXIMAL RIGHT CORONARY ARTERY (RCA) EXTENDING UP TO MIDDLE RCA WITH 99% STENOSIS AND WAS 54 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 3.5 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 3.00 MM X 32 MM OVERLAPPED ON TO 3.50 MM X 28 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. IN (B)(6) 2020, STAGED PROCEDURE WAS PERFORMED AND THE TARGET LESION 1 WAS LOCATED IN THE PROXIMAL LEFT ANTERIOR DESCENDING ARTERY (LAD) EXTENDING UP TO MIDDLE LAD WITH 90% STENOSIS AND WAS 66 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 32 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THE TARGET LESION 2 WAS LOCATED IN THE MIDDLE RCA EXTENDING UP TO DISTAL RCA WITH 95% STENOSIS AND WAS 46 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 2 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 12 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THREE DAYS LATER, THE SUBJECT WAS DISCHARGED ON (B)(6) 2020 ON ASPIRIN AND TICAGRELOR. IN (B)(6) 2022, THE SUBJECT WAS DIAGNOSED WITH A CORONARY ATHEROSCLEROTIC HEART DISEASE AND WAS HOSPITALIZED ON SAME DAY FOR FURTHER TREATMENT. ANGIOGRAPHY WITHOUT REVASCULARIZATION WAS PERFORMED TO TREAT THE EVENT. THE EVENT WAS CONSIDERED TO BE RECOVERED/RESOLVED AND ON THE SAME DAY THE SUBJECT WAS DISCHARGED ON ASPIRIN AND TICAGRELOR.

Description of Event or Problem · 0

SYNERGY CHINA REGISTRY. IT WAS REPORTED THAT CORONARY ATHEROSCLEROTIC HEART DISEASE OCCURRED. IN (B)(6) 2020, THE SUBJECT WAS REFERRED FOR CARDIAC CATHETERIZATION AND THE INDEX PROCEDURE WAS PERFORMED ON THE SAME DAY. THE TARGET LESION 1 WAS LOCATED IN THE PROXIMAL RIGHT CORONARY ARTERY (RCA) EXTENDING UP TO MIDDLE RCA WITH 99% STENOSIS AND WAS 54 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 3.5 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 3.00 MM X 32 MM OVERLAPPED ON TO 3.50 MM X 28 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. SEVEN DAYS LATER, IN (B)(6) 2020, A STAGED PROCEDURE WAS PERFORMED AND TARGET LESION 1 WAS LOCATED IN THE PROXIMAL LEFT ANTERIOR DESCENDING ARTERY (LAD) EXTENDING UP TO MIDDLE LAD WITH 90% STENOSIS AND WAS 66 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 32 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THE TARGET LESION 2 WAS LOCATED IN THE MIDDLE RIGHT CORONARY ARTERY (RCA) EXTENDING UP TO DISTAL RCA WITH 95% STENOSIS AND WAS 46 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 2 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 12 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THREE DAYS LATER, THE SUBJECT WAS DISCHARGED ON ASPIRIN AND TICAGRELOR. IN (B)(6) 2022, THE SUBJECT WAS DIAGNOSED WITH CORONARY ATHEROSCLEROTIC HEART DISEASE AND WAS HOSPITALIZED ON SAME DAY FOR FURTHER TREATMENT. ANGIOGRAPHY WITHOUT REVASCULARIZATION WAS PERFORMED AND MEDICATION WAS GIVEN TO TREAT THE EVENT. THREE DAYS LATER, THE EVENT WAS CONSIDERED TO BE RECOVERED/RESOLVED AND ON THE SAME DAY THE SUBJECT WAS DISCHARGED ON ASPIRIN AND TICAGRELOR. IT WAS FURTHER REPORTED THAT ANGIOGRAPHY WITHOUT REVASCULARIZATION WAS PERFORMED FOR EVENT CORONARY ATHEROSCLEROTIC HEART DISEASE WITH NO MEDICATION GIVEN TO TREAT THE EVENT AS PREVIOUSLY REPORTED. NO OTHER ACTION WAS TAKEN TO TREAT THE EVENT. IT WAS FURTHER REPORTED THAT TARGET LESION 2 WAS LOCATED IN THE PROXIMAL LEFT CIRCUMFLEX (LCX) ARTERY EXTENDING FIRST OBTUSE MARGINAL AND NOT MIDDLE RCA EXTENDING TO DISTAL RCA AS PREVIOUSLY REPORTED. IT WAS FURTHER REPORTED THAT IN (B)(6) 2022, THE SUBJECT WAS ON ASPIRIN AND TICAGRELOR AT THE TIME OF THE EVENT. IT WAS NOTED THAT CORONARY ANGIOGRAPHY REVEALED 70% STENOSIS IN THE PROXIMAL LAD STENT AND 70% STENOSIS IN THE PROXIMAL LCX STENT. THE EVENT WAS TREATED MEDICALLY.

Description of Event or Problem · 0

SYNERGY CHINA REGISTRY IT WAS REPORTED THAT CORONARY ATHEROSCLEROTIC HEART DISEASE OCCURRED. IN (B)(6) 2020, THE SUBJECT INDEX PROCEDURE WAS PERFORMED. THE TARGET LESION 1 WAS LOCATED IN THE PROXIMAL RIGHT CORONARY ARTERY (RCA) EXTENDING UP TO MIDDLE RCA WITH 99% STENOSIS AND WAS 54 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 3.5 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 3.00 MM X 32 MM OVERLAPPED ON TO 3.50 MM X 28 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. IN (B)(6) 2020, STAGED PROCEDURE WAS PERFORMED AND THE TARGET LESION 1 WAS LOCATED IN THE PROXIMAL LEFT ANTERIOR DESCENDING ARTERY (LAD) EXTENDING UP TO MIDDLE LAD WITH 90% STENOSIS AND WAS 66 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 1 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 32 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THE TARGET LESION 2 WAS LOCATED IN THE MIDDLE RCA EXTENDING UP TO DISTAL RCA WITH 95% STENOSIS AND WAS 46 MM LONG WITH A REFERENCE VESSEL DIAMETER OF 2.75 MM. THE TARGET LESION 2 WAS TREATED WITH PRE-DILATATION AND PLACEMENT OF A 2.50 MM X 38 MM OVERLAPPED ON TO 2.75 MM X 12 MM SYNERGY STENT SYSTEMS. FOLLOWING POST-DILATATION, THE RESIDUAL STENOSIS WAS 0%. THREE DAYS LATER, THE SUBJECT WAS DISCHARGED ON (B)(6) 2020 ON ASPIRIN AND TICAGRELOR. IN (B)(6) 2022, THE SUBJECT WAS DIAGNOSED WITH A CORONARY ATHEROSCLEROTIC HEART DISEASE AND WAS HOSPITALIZED ON SAME DAY FOR FURTHER TREATMENT. ANGIOGRAPHY WITHOUT REVASCULARIZATION WAS PERFORMED TO TREAT THE EVENT. THE EVENT WAS CONSIDERED TO BE RECOVERED/RESOLVED AND ON THE SAME DAY THE SUBJECT WAS DISCHARGED ON ASPIRIN AND TICAGRELOR. IT WAS FURTHER REPORTED THAT TARGET LESION 2 WAS LOCATED IN THE PROXIMAL LEFT CIRCUMFLEX (LCX) ARTERY EXTENDING FIRST OBTUSE MARGINAL AND NOT MIDDLE RCA EXTENDING TO DISTAL RCA AS PREVIOUSLY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2251716 SYNERGY CORONARY DRUG-ELUTING STENT NIQ BOSTON SCIENTIFIC CORPORATION 10623 0025011783

Patients

Seq Age Sex Outcome Treatment
1 40 YR Male Other| R| H