FDA Adverse Event
Injury
Summary report: N
XIENCE ABBOTT
MDR report key: 5306067
·
Received December 15, 2015
Report
- Report Number
- MW5058559
- Event Type
- Injury
- Date Received
- December 15, 2015
- Manufacturer
- ABBOTT
- Product Code
- MAF
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- PA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
ON (B)(6) 2015, A MEDICATED STENT WAS INSERTED IN MY LEFT LEG. I HAD MANY SIDE EFFECTS FROM THE ANTIPLATELET MEDS REQUIRED WITH THIS STENT. EVENTUALLY THE STENT FAILED CAUSING 90% BLOCKAGE LEFT LEG. DIFFICULT AMBULATION, WOUND IN LEFT FOOT REQUIRED CONTINUING TREATMENT AND PAIN. I HAVE SINCE LEARNED THAT THIS PRODUCT WAS NOT APPROVED BY THE FDA FOR USE IN LEGS, ONLY ACUTE CARD, AS SYND. I AM NOT ABLE TO PERFORM MY ADL'S WITHOUT PAIN AND IT HAS LIMITED MY R. O. M., AND INDEPENDENCE. SIDE EFFECTS ASSOCIATED WITH THE MEDS REQUIRED FOR USE THIS STENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 825639 | XIENCE ABBOTT | XIENCE XPEDITION LL 3.0 MMX38 MM | MAF | ABBOTT | 4082041 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Hospitalization| S |