FDA Adverse Event Malfunction Summary report: N

ENDEAVOR SPRINT RX CORONARY STENT SYSTEM

MDR report key: 1935449 · Received November 10, 2010

Report

Report Number
2953200-2010-02177
Event Type
Malfunction
Date Received
November 10, 2010
Date of Event
August 26, 2010
Report Date
October 11, 2010
Manufacturer
MEDTRONIC CARDIOVASCULAR GALWAY
Product Code
NIQ
PMA / PMN Number
P060033
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4): EVAL, RESULTS: (SEVERELY TORTUOUS VESSEL), (PREVIOUSLY DEPLOYED STENT), (STENT DEFORMATION AND FAILURE TO DELIVER STENT). CONCLUSION: PT'S CONDITION AFFECTED EFFECTIVENESS OF DEVICE (SEVERELY TORTUOUS VESSEL), (HITTING THE ORIGIN OF PREVIOUSLY DEPLOYED STENT).

Description of Event or Problem · 1

AN ENDEAVOR SPRINT RAPID EXCHANGE (RX) DRUG-ELUTING CORONARY STENT DELIVERY SYS LENGTH 18MM, DIAMETER 2.5MM WAS USED TO TREAT A SIGNIFICANTLY TORTUOUS LESION IN A PT'S CIRCUMFLEX. IT HAS BEEN CONFIRMED THAT THE TORTUOUS NATURE OF THE LCX COMBINED WITH A PREVIOUSLY DEPLOYED STENT IN THE LAD CLOSE TO THE OSTIUM OF THE LCX IMPACTED ON THE DELIVERY OF THE STENT. THE PHYSICIAN REPORTED DEFORMATION OF THE PROXIMAL STENT STRUTS DURING ATTEMPTED ADVANCEMENT AND THE STENT WAS WITHDRAWN. THE LESION WAS SUCCESSFULLY TREATED USING A SHORTER ENDEAVOR STENT. THE PT WAS REPORTED TO BE FINE POST PROCEDURE AND NO CLINICAL SEQUELAE HAVE BEEN REPORTED.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 60 YR