UNKNOWN OPTEASE VENA CAVA FILTER
Report
- Report Number
- 9616099-2012-00703
- Event Type
- Injury
- Date Received
- November 30, 2012
- Date of Event
- January 1, 2011
- Report Date
- November 6, 2012
- Manufacturer
- CORDIS DE MEXICO
- Product Code
- DTK
- PMA / PMN Number
- UNK
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- UK
- Reporter Occupation
- OTHER
Narratives
LITERATURE REVIEW: M.D. TAM, D. KLASS, M. CRAWFORD, S. GIRLING, J. SAADA, P. WILSON,J.F. (2011, SEPTEMBER 10-14). DEVICE-RELATED COMPLICATIONS AND EFFECTIVENESS OF THE OPTEASE FILTER: A RETROSPECTIVE STUDY OF 149 CASES. COCKBURN; NORFOLK AND NORWICH UNIVERSITY HOSPITAL, INTERVENTIONAL RADIOLOGY. ADDITIONAL INFORMATION WILL BE SUBMITTED WITHIN 30 DAYS OF RECEIPT. THIS MDR REPORT REFLECTS THE EVENT OF PULMONARY EMBOLISM FOR ONE PATIENT IN WHICH THERE IS NO PATIENT DEMOGRAPHICS OR DEVICE SPECIFICS. THIS IS ONE OF SEVEN PRODUCTS INVOLVED WITH THIS ADVERSE EVENT IN WHICH ASSOCIATED MANUFACTURER REPORT NUMBERS ARE 9616099-2012-00703, 9616099-2012-00704, 9616099-2012-00705, 9616099-2012-00706, 9616099-2012-00707, 9616099-2012-00708 AND 9616099-2012-00709.
COMPLAINT CONCLUSION: TAM ET AL DEVICE-RELATED COMPLICATIONS AND EFFECTIVENESS OF THE OPTEASE FILTER: A RETROSPECTIVE STUDY OF 149 CASES; CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGICAL SOCIETY OF EUROPE (CIRSE) 2011, REPORT THERE WAS 1 POST-FILTER PE, 9 DVTS AND 1 CAVAL OCCLUSION. THROMBUS WAS SEEN IN THE FILTER IN 12 CASES BUT THIS DID NOT PROGRESS TO OCCLUSION AND WAS ASYMPTOMATIC. THERE WERE 2 FRACTURES AND 2 CASES OF PENETRATION. THERE WAS NO SECONDARY FILTER TILT. 5 CASES OF MIGRATION WERE SEEN ONE OF WHICH PREVENTED RETRIEVAL. THE REFERENCED ARTICLE CONTAINS ONE COMPLAINT AND 8 PRODUCT ISSUES INVOLVING THE OPTEASE FILER OCCURRING IN THE UNITED KINGDOM. MULTIPLE ATTEMPTS HAVE BEEN MADE TO GATHER ADDITIONAL INFORMATION. HOWEVER, NO ADDITIONAL INFORMATION REGARDING PATIENT, LESION OR PROCEDURAL CHARACTERISTICS REGARDING THIS EVENT HAS BEEN PROVIDED. THE PRODUCTS WERE NOT RETURNED FOR ANALYSIS. ADDITIONALLY, AS THE STERILE LOT NUMBER WAS NOT AVAILABLE, DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED. PLACEMENT OF A VENA CAVA FILTER IS NOT A CURE FOR DVT NOR DOES IT PREVENT THE FORMATION OF DVT. INFERIOR VENA CAVA FILTERS ARE USED TO PREVENT SEQUELAE, ESPECIALLY PE, IN PATIENTS WITH CONTRAINDICATIONS TO, COMPLICATIONS OF, OR FAILURE OF ANTICOAGULATION THERAPY AND PATIENTS WITH EXTENSIVE FREE-FLOATING THROMBI OR RESIDUAL THROMBI FOLLOWING MASSIVE PE. PLACEMENT OF A VENA CAVA FILTER REDUCES, BUT DOES NOT ELIMINATE THE RISK OF SYMPTOMATIC PE IN PATIENTS WITH PROXIMAL DVT IN THE SHORT-TERM AND DOES NOT PREVENT SMALL PE. FACTORS THAT MAY HAVE INFLUENCED THE EVENT INCLUDE PATIENT, PHARMACOLOGICAL AND LESION. THERE IS NO MEDICAL EVIDENCE OF A CAUSAL RELATIONSHIP BETWEEN THE VENA CAVA FILTER AND THE FORMATION OF NEW DVT. THE PRODUCTS WERE NOT RETURNED FOR ANALYSIS. NO CORRECTIVE OR PREVENTIVE ACTION WILL BE TAKEN, GIVEN THAT; WITH THE INFORMATION PROVIDED THE REPORTED FAILURE/EVENT DOES NOT APPEAR TO BE RELATED TO THE MANUFACTURING PROCESS.
LITERATURE EVENT DESCRIPTION: TAM ET AL DEVICE-RELATED COMPLICATIONS AND EFFECTIVENESS OF THE OPTEASE FILTER: A RETROSPECTIVE STUDY OF 149 CASES; CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGICAL SOCIETY OF EUROPE (CIRSE) 2011, REPORT THERE WAS 1 POST-FILTER PE, 9 DVTS AND 1 CAVAL OCCLUSION. THROMBUS WAS SEEN IN THE FILTER IN 12 CASES BUT THIS DID NOT PROGRESS TO OCCLUSION AND WAS ASYMPTOMATIC. THERE WERE 2 FRACTURES AND 2 CASES OF PENETRATION. THERE WAS NO SECONDARY FILTER TILT. FIVE CASES OF MIGRATION WERE SEEN ONE OF WHICH PREVENTED RETRIEVAL.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | UNKNOWN OPTEASE VENA CAVA FILTER | THROMBECTOMY SYSTEMS (DTK) | DTK | CORDIS DE MEXICO | NA | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening |