FDA Adverse Event Death Summary report: N

AXIOS STENT AND ELECTROCAUTERY ENHANCED DELIVERY SYSTEM

MDR report key: 20936439 · Received December 16, 2024

Report

Report Number
3005099803-2024-05990
Event Type
Death
Date Received
December 16, 2024
Date of Event
January 1, 2019
Report Date
December 16, 2024
Manufacturer
BOSTON SCIENTIFIC CORPORATION
Product Code
PCU
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B2: THE EXACT DATE OF THE PATIENTS' DEATHS WERE NOT REPORTED. THE RETROSPECTIVE STUDY START DATE OF JANUARY 1, 2019, IS USED FOR THE ESTIMATED DATE OF DEATH. BLOCK B3: THE EXACT DATE OF EVENT WAS NOT REPORTED. THE RETROSPECTIVE STUDY START DATE OF JANUARY 1, 2019, IS USED FOR THE ESTIMATED DATE OF EVENT. BLOCK D4, H4: THE LITERATURE ARTICLE DID NOT PROVIDE THE SUSPECT DEVICE UPN AND LOT NUMBER; THEREFORE, THE LOT EXPIRATION AND DEVICE MANUFACTURE DATES ARE UNKNOWN. BLOCK G2: LITERATURE SOURCE: ALEXANDER JOHNSON PARKER; GREG TOKWABILULA; LAKSHMI NARSINGANALLORE VENKATESH; RANA BHATTACHARYA; JONATHAN BANNARD-SMITH; DANIEL HALEY; ABUBAKER Y M AHMED; ANTHONY WILSON; JOE GERAGHTY. "SEVERE ACUTE PANCREATITIS IN THE ERA OF ENDOSCOPICALLY PLACED LUMEN-APPOSING METAL STENTS (LAMS): CRITICAL CARE OUTCOMES FROM A LARGE UK PANCREATOBILIARY CENTRE." FRONTLINE GASTROENTEROLOGY 2024; 15:366-372. BLOCK H6: IMDRF IMPACT CODE F02 CAPTURES THE PATIENTS' DEATH.

Description of Event or Problem · 0

BOSTON SCIENTIFIC BECAME AWARE OF EVENTS INVOLVING AXIOS STENT AND ELECTROCAUTERY ENHANCED DELIVERY SYSTEMS THROUGH THE ARTICLE, SEVERE ACUTE PANCREATITIS IN THE ERA OF ENDOSCOPICALLY PLACED LUMEN-APPOSING METAL STENTS (LAMS): CRITICAL CARE OUTCOMES FROM A LARGE UK PANCREATOBILIARY CENTRE, BY ALEXANDER JOHNSON PARKER, ET AL. PER THE ARTICLE, A RETROSPECTIVE OBSERVATIONAL STUDY EXAMINED PATIENTS WITH SEVERE ACUTE PANCREATITIS (SAP) BETWEEN JANUARY 1, 2019, AND JUNE 16, 2022. AMONG PATIENTS TREATED WITH LAMS, 10% (3 PATIENTS) DIED DURING THEIR CRITICAL CARE STAY, AND 16% (5 PATIENTS) DIED BEFORE HOSPITAL DISCHARGE. PLEASE SEE THE REFERENCED ARTICLE FOR FULL DETAILS AND FULL LISTING OF PHYSICIANS AND HEALTHCARE FACILITIES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2391495 AXIOS STENT AND ELECTROCAUTERY ENHANCED DELIVERY SYSTEM PANCREATIC STENT, COVERED, METALLIC, REMOVABLE PCU BOSTON SCIENTIFIC CORPORATION UNK-P-HOT_AXIOS

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death