FDA Adverse Event Malfunction Summary report: N

TAXUS LIBERTE PACLITAXEL-ELUTING CORONARY STENT SYSTEM

MDR report key: 2083084 · Received May 10, 2011

Report

Report Number
2134265-2011-01686
Event Type
Malfunction
Date Received
May 10, 2011
Date of Event
April 17, 2011
Report Date
April 18, 2011
Manufacturer
BOSTON SCIENTIFIC - MAPLE GROVE
Product Code
NIQ
PMA / PMN Number
P060008
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MFR: THE TAXUS LIBERTE DEVICE WAS RETURNED WITH NO VISIBLE BLOOD OR CONTRAST ON THE DEVICE. MAGNIFIED INSPECTION CONFIRMED THAT THE PROXIMAL END OF THE STENT WAS DAMAGED. THERE WERE BENT AND STRETCHED STRUTS IN SEVERAL ROWS OF PROXIMAL STRUTS. INSPECTION OF THE DISTAL END OF THE STENT CONFIRMED THAT THE STENT DID NOT DISLODGE FROM THE AS-MANUFACTURED POSITION BETWEEN THE MARKERBANDS. INSPECTION OF THE REMAINDER OF THE DEVICE PRESENTED NO OTHER DAMAGE OR IRREGULARITIES. THE MANUFACTURING BATCH RECORD REVIEW CONFIRMED THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY AND PERFORMANCE SPECIFICATIONS. THE MOST PROBABLE ROOT CAUSE IS OPERATIONAL CONTEXT AS DEVICE PERFORMANCE WAS LIMITED DUE TO ANATOMICAL/PROCEDURAL FACTORS. (B)(4).

Additional Manufacturer Narrative · 1

DEVICE EVALUATED BY MANUFACTURER: THE DEVICE HAS NOT BEEN RECEIVED FOR ANALYSIS. UPON RECEIPT AND COMPLETION OF THE FAILURE ANALYSIS OF THE COMPLAINT DEVICE, IF THERE IS ANY FURTHER RELEVANT INFORMATION FROM THAT REVIEW, A SUPPLEMENTAL MEDWATCH WILL BE FILED. (B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A STENTING TREATMENT PROCEDURE STENT DAMAGE OCCURRED. THE 95% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MILDLY CALCIFIED POSTERIOR DESCENDING ARTERY (PDA). A 2.25X12MM TAXUS LIBERTE ATOM STENT DELIVERY SYSTEM (SDS) WAS ADVANCED TO THE PDA; HOWEVER, THE DEVICE WAS UNABLE TO CROSS THE LESION. THE DEVICE WAS REMOVED FROM THE PATIENT AND IT WAS NOTED THAT THE STENT STRUTS WERE FRAYED. A NON BSC BALLOON WAS THEN ADVANCED TO THE LESION AND INFLATED AND THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH ANOTHER 2.25X12MM TAXUS LIBERTE ATOM STENT. NO PATIENT COMPLICATIONS WERE REPORTED AND THE PATIENT'S CURRENT CONDITION IS FINE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A STENTING TREATMENT PROCEDURE STENT DAMAGE OCCURRED. THE 95% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MILDLY CALCIFIED POSTERIOR DESCENDING ARTERY (PDA). A 2.25X12MM TAXUS LIBERTE ATOM STENT DELIVERY SYSTEM (SDS) WAS ADVANCED TO THE PDA; HOWEVER, THE DEVICE WAS UNABLE TO CROSS THE LESION. THE DEVICE WAS REMOVED FROM THE PATIENT AND IT WAS NOTED THAT THE STENT STRUTS WERE FRAYED. A NON BSC BALLOON WAS THEN ADVANCED TO THE LESION AND INFLATED AND THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH ANOTHER 2.25X12MM TAXUS LIBERTE ATOM STENT. NO PATIENT COMPLICATIONS WERE REPORTED AND THE PATIENT'S CURRENT CONDITION IS FINE.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A STENTING TREATMENT PROCEDURE STENT DAMAGE OCCURRED. THE 95% STENOSED TARGET LESION WAS LOCATED IN THE MODERATELY TORTUOUS AND MILDLY CALCIFIED POSTERIOR DESCENDING ARTERY (PDA). A 2.25X12MM TAXUS LIBERTE ATOM STENT DELIVERY SYSTEM (SDS) WAS ADVANCED TO THE PDA; HOWEVER, THE DEVICE WAS UNABLE TO CROSS THE LESION. THE DEVICE WAS REMOVED FROM THE PATIENT AND IT WAS NOTED THAT THE STENT STRUTS WERE FRAYED. A NON BSC BALLOON WAS THEN ADVANCED TO THE LESION AND INFLATED AND THE PROCEDURE WAS SUCCESSFULLY COMPLETED WITH ANOTHER 2.25X12MM TAXUS LIBERTE ATOM STENT. NO PATIENT COMPLICATIONS WERE REPORTED AND THE PATIENT'S CURRENT CONDITION IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAXUS LIBERTE PACLITAXEL-ELUTING CORONARY STENT SYSTEM CORONARY DRUG-ELUTING STENT NIQ BOSTON SCIENTIFIC - MAPLE GROVE H7493893612220 13563008

Patients

Seq Age Sex Outcome Treatment
1 61 YR