FDA Adverse Event Injury Summary report: N

ABSOLUTE .035 SELF EXPANDING STENT SYSTEM

MDR report key: 3023091 · Received March 27, 2013

Report

Report Number
2024168-2013-01748
Event Type
Injury
Date Received
March 27, 2013
Date of Event
January 1, 2013
Report Date
February 20, 2013
Manufacturer
AV-TEMECULA-CT
Product Code
FGE
PMA / PMN Number
K072708
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
HEALTH PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THERE WAS NO REPORTED PRODUCT DEFICIENCY. ALTHOUGH A CONCLUSIVE CAUSE FOR THE REPORTED PATIENT EFFECTS, AND THE RELATIONSHIP TO THE PRODUCT, IF ANY, CANNOT BE DETERMINED, THERE IS NO INDICATION OF A PRODUCT QUALITY DEFICIENCY WITH RESPECT TO MANUFACTURING, DESIGN OR LABELING. ATTACHMENT: UNILATERAL ILIAC ARTERY STENTING IMPROVES PERFUSION AND SYMPTOMS IN BOTH LIMBS IN PATIENTS WITH BILATERAL ILIAC LESION.

Description of Event or Problem · 1

THIS EVENT WAS CAPTURED BASED ON LITERATURE REVIEW OF THE ARTICLE: UNILATERAL ILIAC ARTERY STENTING IMPROVES PERFUSION AND SYMPTOMS IN BOTH LIMBS IN PATIENTS WITH BILATERAL ILIAC LESION. IT WAS REPORTED THAT SIXTEEN PATIENTS WITH CHRONIC OCCLUSIONS WERE TREATED WITH UNILATERAL ANGIOPLASTY/STENTING. CLINICAL SUCCESS WAS 100% FOR THE TREATED LIMB IMMEDIATELY AFTER THE PROCEDURE AND 93.8% FOR THE CONTRALATERAL LIMB. ONE PATIENT WITH ISCHEMIC REST PAIN IN THE OCCLUDED LIMB CONTINUED TO EXPERIENCE SEVERE SYMPTOMS AFTER CONTRALATERAL CIA STENTING DESPITE HEMODYNAMIC IMPROVEMENT; HE HAD A FEMORO-FEMORAL GRAFT IMPLANTED 2 MONTHS AFTER THE INITIAL INTERVENTION AND WAS CONSIDERED THE ONLY CLINICAL FAILURE. DURING A MEAN 24-MONTH FOLLOW-UP, ALL STENTED ARTERIES REMAINED PATENT. NO ADDITIONAL INFORMATION WAS PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
126344 ABSOLUTE .035 SELF EXPANDING STENT SYSTEM SELF-EXPANDING STENT SYSTEM FGE AV-TEMECULA-CT

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R