FDA Adverse Event Injury Summary report: N

TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STE

MDR report key: 2304450 · Received March 11, 2006

Report

Report Number
6000093-2006-02720
Event Type
Injury
Date Received
March 11, 2006
Date of Event
February 7, 2006
Report Date
February 9, 2006
Manufacturer
BOSTON SCIENTIFIC CORP.
Product Code
NIQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE COMPLAINANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS IS NOT AVAILABLE, AND WE ARE NOT ABLE TO DETERMINE THE ROOT CAUSE OF THIS EVENT. SHOULD FURTHER RELEVANT INFORMATION BECOME AVAILABLE; A SUPPLEMENTAL MEDWATCH REPORT WILL BE FILED. THE MANUFACTURING RECORDS FOR TOP ASSEMBLY BATCH 7221955 HAVE BEEN REVIEWED AND NO ISSUES OR DISCREPANCIES WERE FOUND. THIS RECORDS REVIEW CONFIRMS THAT THE DEVICE MET ALL MATERIAL, ASSEMBLY, AND PERFORMANCE SPECIFICATIONS.

Description of Event or Problem · 1

SAME CASE AS MANUFACTURER'S REPORT #6000093-2006-00388 (B)(6), 6000093-2006-XXXXX (B)(6), AND 6000093-2006-XXXXX (B)(6). (B)(6). IT WAS REPORTED THAT 213 DAYS AFTER IMPLANTATION OF SEVERAL TAXUS EXPRESS2 DRUG ELUTING STENTS, IN-STENT RESTENOSIS OCCURRED. DURING THE INITIAL PROCEDURE, A 90% STENOTIC LESION IN THE RAMUS ARTERY WAS TREATED WITH A 2.5 X 12 MM TAXUS AND KISSING BALLOON ANGIOPLASTY. A 90-95% STENOTIC, LONG LESION IN THE LEFT CIRCUMFLEX (LCX) CORONARY ARTERY WAS TREATED WITH A 3.0X32 MM TAXUS STENT. A 96% STENOTIC LESION IN THE 1ST OBTUSE MARGINAL (OM1) CORONARY ARTERY WAS TREATED WITH A 2.5X20 MM TAXUS STENT. FINALLY, A 20-9% STENOTIC LESION IN THE 2ND OBTUSE MARGINAL (OM2) CORONARY ARTERY WAS TREATED WITH A 2.5X20 MM TAXUS STENT AND KISSING BALLOON ANGIOPLASTY. A POST-INTERVENTION STENOSIS OF 0% WAS REPORTED FOR ALL LESIONS. NO INFORMATION WAS RECEIVED REGARDING THE VESSEL TORTUOUSITY OR CALCIFICATION. NO INFORMATION WAS REPORTED CONCERNING PATIENT MEDICATIONS. THE PATIENT WAS REPORTED HAVING TOLERATED THE PROCEDURE WELL. THE PATIENT PRESENTED 213 DAYS AFTER THE INITIAL PROCEDURE WITH A 90% IN-STENT RESTENOSIS OF THE RAMUS, 70-90% RESTENOSIS OF THE PROXIMAL TO MID LCX, AND 90% RESTENOSIS OF THE OM1 AND OM2 TAXUS STENTS. THE LCX RESTENOSIS WAS TREATED WITH PTCA AND A 2.5X20 TAXUS STENT. ALL LESIONS WERE REPORTED TO HAVE 0% STENOSIS FOLLOWING RE-INTERVENTION. NO INFORMATION WAS REPORTED CONCERNING PATIENT MEDICATIONS. THE PATIENT WAS REPORTED HAVING TOLERATED THE PROCEDURE WELL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STE DRUG COATED STENT NIQ BOSTON SCIENTIFIC CORP. 2.50X20 7630729

Patients

Seq Age Sex Outcome Treatment
1 57 YR Required Intervention