FDA Adverse Event Injury Summary report: N

SHOCKWAVE C2 CORONARY INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER

MDR report key: 20413970 · Received October 9, 2024

Report

Report Number
3015053858-2024-00118
Event Type
Injury
Date Received
October 9, 2024
Report Date
October 9, 2024
Manufacturer
SHOCKWAVE MEDICAL, INC.
Product Code
QMG
PMA / PMN Number
P200039
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

THE DEVICE REFERENCED IN THE JOURNAL PUBLICATION WAS NOT AVAILABLE FOR RETURN TO SHOCKWAVE MEDICAL INC. THE DEVICE LOT NUMBER OR SIZE WAS NOT REPORTED. THEREFORE, ADDITIONAL INFORMATION COULD NOT BE OBTAINED. THE CAUSE OF THE REPORTED PERFORATION COULD NOT BE DETERMINED BASED ON THE INFORMATION AVAILABLE IN THE JOURNAL. THERE WAS NO REPORT OF ANY IVL DEVICE MALFUNCTION. A REVIEW OF THE DEVICE MANUFACTURING AND TEST DOCUMENTATION COULD NOT BE COMPLETED WITH THE LIMITED INFORMATION AVAILABLE. HOWEVER, SHOCKWAVE MEDICAL, INC. HAS CONTROLS IN PLACE TO ENSURE DEVICES ARE BUILT TO APPROVED PROCEDURES AND MEET LOT RELEASE ACCEPTANCE CRITERIA PRIOR TO DISTRIBUTION.

Description of Event or Problem · 0

AN ARTICLE RELATED TO INTRAVASCULAR LITHOTRIPSY (IVL) IN CHRONIC TOTAL OCCLUSIONS (CTO) PERCUTANEOUS CORONARY INTERVENTIONS REPORTING PERFORATIONS AND LIFE-THREATENING ARRHYTHMIAS ENTITLED "INTRAVASCULAR LITHOTRIPSY IN HEAVILY CALCIFIED CHRONIC TOTAL OCCLUSION: PROCEDURAL AND ONE-YEAR CLINICAL OUTCOMES" WAS PUBLISHED IN THE CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS JOURNAL BY WILEY PERIODICALS LLC (DOI: 10.1002/CCD.31207). THERE IS NO AVAILABLE INFORMATION ON PRODUCT TYPE, PATIENTS' HEALTH HISTORY, PROCEDURE/EVENT DATE, OR CAUSAL DEVICE RELATIONSHIP. THIS IS REPORT 2 OF 3 ASSOCIATED TO THIS PUBLICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2260201 SHOCKWAVE C2 CORONARY INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER SHOCKWAVE C2 CORONARY INTRAVASCULAR LITHOTRIPSY (IVL) CATHETER QMG SHOCKWAVE MEDICAL, INC. C2IVLXXXXX UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other