FDA Adverse Event
Malfunction
Summary report: N
DIAMONDBACK CORONARY
MDR report key: 22564400
·
Received July 22, 2025
Report
- Report Number
- 22564400
- Event Type
- Malfunction
- Date Received
- July 22, 2025
- Date of Event
- July 10, 2025
- Report Date
- July 16, 2025
- Manufacturer
- CARDIOVASCULAR SYSTEMS, INC.
- Product Code
- MCX
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
VIPER WIRE (FROM THE ORBITAL ATHERECTOMY SYSTEM- DIAMONDBACK DEVICE) FRACTURED AND SHEARED OFF INTO THE VESSEL AND REMAINED IN OBTUSE MARGINAL ARTERY. THERE IS DISTAL TIP DETACHMENT OF VIPERWIRE, THERE WAS NO OPTION OF RETRIEVING IT DUE TO SEVERE STENOSIS IN PROXIMAL VESSEL AND DISTAL LOCATION OF THE WIRE TIP. WE DECIDED TO TREAT BY PLACEMENT OF DES [DRUG-ELUTING STENT] AND TRAPPING THE WIRE BEYOND IT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1713420 | DIAMONDBACK CORONARY | CATHETER, CORONARY, ATHERECTOMY | MCX | CARDIOVASCULAR SYSTEMS, INC. | GWC-12325LG-FT | 558783-3 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 73 YR | Male | Other |