FDA Adverse Event Injury Summary report: N

UNKNOWN OPTEASE VENA CAVA FILTER

MDR report key: 2855000 · Received December 3, 2012

Report

Report Number
9616099-2012-00716
Event Type
Injury
Date Received
December 3, 2012
Date of Event
November 1, 2006
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
SZ
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

PLEASE NOTE THAT THE EVENT DATE IS BEING REPORTED AS (B)(6) 2006 AS THE ARTICLE WAS FROM (B)(6) 2006. THE PRODUCT IS NOT AVAILABLE FOR EVALUATION AND TESTING. ADDITIONAL INFORMATION WILL BE SUBMITTED WITHIN 30 DAYS UPON RECEIPT. (B)(4). PLEASE REFERENCE MFR. REPORT # 9616099-2012-00716, # 9616099-2012-00717, # 9616099-2012-00718.

Additional Manufacturer Narrative · 1

COMPLAINT CONCLUSION: DURING A LITERATURE SEARCH, THE FOLLOWING ARTICLE WAS FOUND IN EUR J VASC ENDOVASC SURG 32, 589E595 (2006) DOI:10.1016/J.EJVS.2006.04.040. THE ARTICLE WAS ENTITLED: EARLY EXPERIENCE WITH THE RETRIEVABLE OPTEASE VENA CAVA FILTER IN HIGH-RISK TRAUMA PATIENTS BY C. MEIER, I.S. KELLER, R. PFIFFNER, L. LABLER, O. TRENTZ AND T. PFAMMATTER. DIVISION OF TRAUMA SURGERY, AND INSTITUTE OF DIAGNOSTIC RADIOLOGY, UNIVERSITY HOSPITAL ZURICH, SWITZERLAND. LATE FILTER THROMBOSIS WAS SEEN IN ONE FILTER. THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. ADDITIONALLY, AS THE STERILE LOT NUMBER WAS NOT AVAILABLE, DEVICE HISTORY RECORD REVIEW COULD NOT BE PERFORMED. THE PURPOSE OF A VENA CAVA FILTER IS TO CATCH THROMBUS FROM THE LOWER EXTREMITIES AS IT TRAVELS ALONG NORMAL BLOOD FLOW PATTERNS UP TOWARDS THE HEART. THROMBUS IN THE FILTER DOES NOT REPRESENT A DEVICE MALFUNCTION. THROMBOSIS IN THE FILTER IS A WELL KNOWN POTENTIAL COMPLICATION AND OCCURS IN APPROXIMATELY 3.6 TO 11.2 % OF ALL PATIENTS. FACTORS THAT MAY HAVE INFLUENCED THE EVENT INCLUDE PATIENT, PHARMACOLOGICAL AND LESION. NO CORRECTIVE OR PREVENTIVE ACTION WILL BE TAKEN, GIVEN THAT; WITH THE INFORMATION PROVIDED THE REPORTED FAILURE DOES NOT APPEAR TO BE RELATED TO THE MANUFACTURING PROCESS. PLEASE REFERENCE MFR. REPORT # 9616099-2012-00716, # 9616099-2012-00717, # 9616099-2012-00718.

Description of Event or Problem · 1

DURING A LITERATURE SEARCH, THE FOLLOWING ARTICLE WAS FOUND IN EUR J VASC ENDOVASC SURG 32, 589E595 (2006) DOI:10.1016/J.EJVS.2006.04.040. THE ARTICLE WAS ENTITLED: EARLY EXPERIENCE WITH THE RETRIEVABLE OPTEASE VENA CAVA FILTER IN HIGH-RISK TRAUMA PATIENTS BY C. MEIER, I.S. KELLER, R. PFIFFNER, L. LABLER, O. TRENTZ AND T. PFAMMATTER. DIVISION OF TRAUMA SURGERY, AND INSTITUTE OF DIAGNOSTIC RADIOLOGY, UNIVERSITY HOSPITAL ZURICH, SWITZERLAND. REPORT FILTERS WERE NOT REMOVED IN THREE PATIENTS DUE TO THEIR INJURIES AND LATE FILTER THROMBOSIS WAS SEEN IN ONE OF THREE FILTERS.

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