VENOVO VENOUS STENT
Report
- Report Number
- 9681442-2026-00097
- Event Type
- Death
- Date Received
- May 12, 2026
- Date of Event
- April 20, 2026
- Report Date
- April 26, 2026
- Manufacturer
- ANGIOMED GMBH & CO. MEDIZINTECHNIK KG
- Product Code
- QAN
- UDI-DI
- 00801741103308
- PMA / PMN Number
- P180037
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
H11: AS THE LOT NUMBER FOR THE DEVICE WAS NOT PROVIDED, A REVIEW OF THE DEVICE HISTORY RECORDS COULD BE PERFORMED. THE SAMPLE WAS NOT RETURNED TO THE MANUFACTURER FOR INSPECTION/EVALUATION. THEREFORE, THE INVESTIGATION OF THE REPORTED EVENT IS INCONCLUSIVE. BASED UPON THE AVAILABLE INFORMATION, THE DEFINITIVE ROOT CAUSE FOR THIS EVENT IS UNKNOWN. THE INSTRUCTIONS FOR USE (IFU) IS ADEQUATE FOR THE REPORTED DEVICE/PATIENT CODE(S) AND PROVIDES GENERAL INSTRUCTIONS FOR USE, AS WELL AS WARNINGS, PRECAUTIONS AND POTENTIAL COMPLICATIONS ASSOCIATED WITH THE DEVICE. UPON RECEIPT OF NEW OR ADDITIONAL INFORMATION, A FOLLOW UP REPORT WILL BE SUBMITTED AS APPLICABLE. SECTION A THROUGH F: THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.
A PATIENT UNDERWENT A VENOPLASTY WITH STENTING PROCEDURE USING VENOVO VENOUS STENTS VIA BILATERAL BRACHIAL ACCESS AFTER THROMBECTOMY WITH PENUMBRA. IT WAS REPORTED THAT PRIOR TO PLACING THE STENTS THE PATIENT HAD ALREADY UNDERGONE VENOPLASTY WITH TWELVE MM BALLOONS SIMULTANEOUSLY. THE STENTS WERE THEN PLACED AND POST DILATED WITH THE SAME TWELVE MM BALLOONS. IT WAS NOTED THAT STENT WAS ACCURATELY PLACED WITHOUT ISSUE. HOWEVER, AFTER POST DILATION, THE PATIENT BECAME HYPOTENSIVE. A VENOGRAM WAS PERFORMED AND NO ISSUES WERE REPORTEDLY FOUND WITH THE STENT PLACEMENT. ATTEMPTS WERE MADE TO SUSTAIN THE PATIENT'S BLOOD PRESSURE BUT WERE UNSUCCESSFUL. THE PATIENT REPORTEDLY EXPIRED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 208028 | VENOVO VENOUS STENT | VENOUS STENT | QAN | ANGIOMED GMBH & CO. MEDIZINTECHNIK KG | UNKNOWN | 00801741103308 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |