FDA Adverse Event Injury Summary report: N

ALAIR BRONCHIAL THERMOPLASTY CATHETER

MDR report key: 2407370 · Received January 10, 2012

Report

Report Number
3005099803-2011-04618
Event Type
Injury
Date Received
January 10, 2012
Date of Event
December 14, 2011
Report Date
December 15, 2011
Manufacturer
BOSTON SCIENTIFIC - MARLBOROUGH
Product Code
OOY
PMA / PMN Number
P080032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NC, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE COMPLAINANT INDICATED THAT THE DEVICE WILL NOT BE RETURNED FOR EVALUATION; THEREFORE, A FAILURE ANALYSIS OF THE COMPLAINT DEVICE COULD NOT BE COMPLETED. IF ANY FURTHER RELEVANT INFORMATION IS IDENTIFIED, A SUPPLEMENTAL MEDWATCH WILL BE FILED.

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

MFR NAME: BOSTON SCIENTIFIC CORPORATION (B)(4). STUDY: (B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BRONCHIAL THERMOPLASTY CATHETER WAS USED DURING A BRONCHIAL THERMOPLASTY (BT) PROCEDURE ON (B)(6) 2011, AS PART OF (B)(4) CLINICAL STUDY. ACCORDING TO THE COMPLAINANT, DURING THE PATIENT'S THIRD BT PROCEDURE, THE PATIENT EXPERIENCED AN EVENT OF ASTHMA EXACERBATION. THE PATIENT DEVELOPED A SEVERE COUGH DURING AND AFTER THE PROCEDURE THAT DID NOT IMMEDIATELY RESOLVE. ON THE DAY FOLLOWING THE PROCEDURE, THE PATIENT'S CONDITION WORSENED AND THE PATIENT WAS BROUGHT TO THE EMERGENCY ROOM ON (B)(6) 2011, AND SUBSEQUENTLY ADMITTED. THE PATIENT WAS TREATED WITH PAIN MEDICATIONS AND STEROIDS (DETAILS NOT REPORTED). THE PATIENT WAS DISCHARGED FROM THE HOSPITAL ON (B)(6) 2011; THE DURATION OF THE HOSPITALIZATION WAS 7 DAYS. THE ASTHMA EVENT HAS BEEN REPORTED AS CONTINUING. THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETER WITH NO DEVICE MALFUNCTIONS REPORTED.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BRONCHIAL THERMOPLASTY CATHETER WAS USED DURING A BRONCHIAL THERMOPLASTY (BT) PROCEDURE ON (B)(6), 2011, AS PART OF THE (B)(6). ACCORDING TO THE COMPLAINANT, DURING THE PATIENT'S THIRD BT PROCEDURE, THE PATIENT EXPERIENCED AN EVENT OF ASTHMA EXACERBATION. THE PATIENT DEVELOPED A SEVERE COUGH DURING AND AFTER THE PROCEDURE THAT DID NOT IMMEDIATELY RESOLVE. ON THE DAY FOLLOWING THE PROCEDURE, THE PATIENT'S CONDITION WORSENED AND THE PATIENT WAS BROUGHT TO THE EMERGENCY ROOM ON (B)(6), 2011, AND SUBSEQUENTLY ADMITTED. THE PATIENT WAS TREATED WITH PAIN MEDICATIONS AND STEROIDS (DETAILS NOT REPORTED). THE PATIENT WAS DISCHARGED FROM THE HOSPITAL ON (B)(6) 2011; THE DURATION OF THE HOSPITALIZATION WAS 7 DAYS. THE ASTHMA EVENT HAS BEEN REPORTED AS CONTINUING. THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETER WITH NO DEVICE MALFUNCTIONS REPORTED. (B)(6), 2012: FOLLOW UP, CONDUCTED SIX WEEKS FOLLOWING THE PROCEDURE, INDICATED THAT THE PATIENT CONTINUED TO HAVE CHEST TIGHTNESS, SHORTNESS OF BREATH AND NIGHTTIME EXACERBATIONS. PEAK FLOWS WERE ALSO REPORTED AS STILL BELOW BASELINE 6 WEEKS POST PROCEDURE. (B)(6), 2012: THE FIRST EVENT OF ASTHMA AGGRAVATED FOLLOWING THE THIRD BT PROCEDURE WAS REPORTED AS CONTINUING WITH RESIDUAL EFFECTS AT THE 6 WEEK FOLLOW UP. THE PATIENT HAD SYMPTOMS OF SHORTNESS OF BREATH AND CHEST TIGHTNESS. PEAK FLOWS WERE REPORTED AS BELOW BASELINE, AND THE PATIENT HAS SOME NIGHTTIME EXACERBATIONS. ON (B)(6), 2012, THE PATIENT EXPERIENCED A SECOND EVENT OF ASTHMA AGGRAVATED WITH SYMPTOMS OF COUGH AND INCREASED SHORTNESS OF BREATH. THE PATIENT WAS TREATED WITH AN ADDITIONAL PULSE OF STEROIDS (A TAPERING DOSE OF PREDNISONE), AND THE EVENT WAS REPORTED AS RESOLVED ON (B)(6), 2012. THERE WERE NO EMERGENCY ROOM VISITS OR HOSPITALIZATIONS REPORTED WITH THIS SECOND EVENT.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BRONCHIAL THERMOPLASTY CATHETER WAS USED DURING A BRONCHIAL THERMOPLASTY (BT) PROCEDURE ON (B)(6), 2011, AS PART OF THE (B)(4) CLINICAL STUDY. ACCORDING TO THE COMPLAINANT, DURING THE PATIENT'S THIRD BT PROCEDURE, THE PATIENT EXPERIENCED AN EVENT OF ASTHMA EXACERBATION. THE PATIENT DEVELOPED A SEVERE COUGH DURING AND AFTER THE PROCEDURE THAT DID NOT IMMEDIATELY RESOLVE. ON THE DAY FOLLOWING THE PROCEDURE, THE PATIENT'S CONDITION WORSENED AND THE PATIENT WAS BROUGHT TO THE EMERGENCY ROOM ON (B)(6), 2011, AND SUBSEQUENTLY ADMITTED. THE PATIENT WAS TREATED WITH PAIN MEDICATIONS AND STEROIDS (DETAILS NOT REPORTED). THE PATIENT WAS DISCHARGED FROM THE HOSPITAL ON (B)(6) 2011; THE DURATION OF THE HOSPITALIZATION WAS 7 DAYS. THE ASTHMA EVENT HAS BEEN REPORTED AS CONTINUING. THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETER WITH NO DEVICE MALFUNCTIONS REPORTED. UPDATE (B)(4), 2012: FOLLOW UP, CONDUCTED SIX WEEKS FOLLOWING THE PROCEDURE, INDICATED THAT THE PATIENT CONTINUED TO HAVE CHEST TIGHTNESS, SHORTNESS OF BREATH AND NIGHTTIME EXACERBATIONS. PEAK FLOWS WERE ALSO REPORTED AS STILL BELOW BASELINE 6 WEEKS POST PROCEDURE.

Description of Event or Problem · 1

IT WAS REPORTED TO BOSTON SCIENTIFIC CORPORATION THAT A BRONCHIAL THERMOPLASTY CATHETER WAS USED DURING A BRONCHIAL THERMOPLASTY (BT) PROCEDURE ON (B)(6) 2011, AS PART OF THE (B)(6) STUDY. ACCORDING TO THE COMPLAINANT, DURING THE PATIENT'S THIRD BT PROCEDURE, THE PATIENT EXPERIENCED AN EVENT OF ASTHMA EXACERBATION. THE PATIENT DEVELOPED A SEVERE COUGH DURING AND AFTER THE PROCEDURE THAT DID NOT IMMEDIATELY RESOLVE. ON THE DAY FOLLOWING THE PROCEDURE, THE PATIENT'S CONDITION WORSENED AND THE PATIENT WAS BROUGHT TO THE EMERGENCY ROOM ON (B)(6), 2011, AND SUBSEQUENTLY ADMITTED. THE PATIENT WAS TREATED WITH PAIN MEDICATIONS AND STEROIDS (DETAILS NOT REPORTED). THE PATIENT WAS DISCHARGED FROM THE HOSPITAL ON (B)(6) 2011; THE DURATION OF THE HOSPITALIZATION WAS 7 DAYS. THE ASTHMA EVENT HAS BEEN REPORTED AS CONTINUING. THE PROCEDURE WAS COMPLETED WITH THE SAME CATHETER WITH NO DEVICE MALFUNCTIONS REPORTED. ***UPDATE (B)(6) 2012*** FOLLOW UP, CONDUCTED SIX WEEKS FOLLOWING THE PROCEDURE, INDICATED THAT THE PATIENT CONTINUED TO HAVE CHEST TIGHTNESS, SHORTNESS OF BREATH AND NIGHTTIME EXACERBATIONS. PEAK FLOWS WERE ALSO REPORTED AS STILL BELOW BASELINE 6 WEEKS POST PROCEDURE. ***UPDATE (B)(6) 2012*** THE FIRST EVENT OF ASTHMA AGGRAVATED FOLLOWING THE THIRD BT PROCEDURE WAS REPORTED AS CONTINUING WITH RESIDUAL EFFECTS AT THE 6 WEEK FOLLOW UP. THE PATIENT HAD SYMPTOMS OF SHORTNESS OF BREATH AND CHEST TIGHTNESS. PEAK FLOWS WERE REPORTED AS BELOW BASELINE, AND THE PATIENT HAS SOME NIGHTTIME EXACERBATIONS. ON (B)(6) 2012, THE PATIENT EXPERIENCED A SECOND EVENT OF ASTHMA AGGRAVATED WITH SYMPTOMS OF COUGH AND INCREASED SHORTNESS OF BREATH. THE PATIENT WAS TREATED WITH AN ADDITIONAL PULSE OF STEROIDS (A TAPERING DOSE OF PREDNISONE), AND THE EVENT WAS REPORTED AS RESOLVED ON (B)(6) 2012. THERE WERE NO EMERGENCY ROOM VISITS OR HOSPITALIZATIONS REPORTED WITH THIS SECOND EVENT. **UPDATE (B)(6) 2013*** THE REPORTED EVENT OF ASTHMA EXACERBATION THAT BEGAN ON (B)(6) 2011 RESOLVED ON (B)(6) 2011.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ALAIR BRONCHIAL THERMOPLASTY CATHETER ELECTROSURGICAL, BRONCHIAL THERMOPLASTY CATHETER & SYSTEM & ACCESSORIES OOY BOSTON SCIENTIFIC - MARLBOROUGH M005ATS25010 021010

Patients

Seq Age Sex Outcome Treatment
1 55 YR Hospitalization