FDA Adverse Event Malfunction Summary report: N

GUNTHER TULIP FEMORAL VENA CAVA FILTER SET

MDR report key: 6560351 · Received May 11, 2017

Report

Report Number
1820334-2017-00971
Event Type
Malfunction
Date Received
May 11, 2017
Date of Event
April 26, 2012
Report Date
November 30, 2018
Manufacturer
COOK INC
Product Code
DTK
PMA / PMN Number
K043509
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
ATTORNEY

Narratives

Additional Manufacturer Narrative · 1

WILLIAM COOK EUROPE INITIALLY REPORTED EVENT UNDER MFR REPORT # 3002808486-2016-00751. NEW INFORMATION WAS RECEIVED IDENTIFYING THAT THE PRODUCT WAS A COOK INC. MANUFACTURED DEVICE. (B)(4). THE EVENT IS CURRENTLY UNDER INVESTIGATION. A SUPPLEMENTAL REPORT WILL BE PROVIDED UPON CONCLUSION.

Additional Manufacturer Narrative · 1

CORRECTION: A RETROSPECTIVE REVIEW OF RECORDS PERFORMED ON (B)(6) 2018 DISCOVERED THAT FOLLOW UP 2 MDR 1820334-2016-00971 WAS SENT INSTEAD OF FOLLOW UP 1 MDR 1820334-2017-00971. FOLLOW UP 1 MDR 1820334-2017-00971 HAS BEEN CREATED AS TO A CORRECTION TO REPORT THE EVALUATION RESULTS. INVESTIGATION EVALUATION: IT HAS NOT BEEN POSSIBLE TO FURTHER INVESTIGATE OR EVALUATE THIS ALLEGED EVENT BASED ON THE LIMITED INFORMATION PROVIDED TO DATE VIA THE OPERATIVE NOTE STATING "PLAINTIFF IS ALLEGING DEVICE IS UNABLE TO BE RETRIEVED, EMBEDDED, DVT, RLE SWELLING, TIRED¿. COOK WILL REOPEN ITS INVESTIGATION IF FURTHER INFORMATION IS RECEIVED. UNKNOWN IF THE REPORTED ¿DVT, RLE SWELLING, TIRED¿ IS DIRECTLY RELATED TO THE FILTER AND UNABLE TO IDENTIFY A CORRESPONDING FAILURE MODE AT THIS POINT IN TIME. FILTER RETRIEVAL IS OCCASIONALLY DIFFICULT. THIS IS WELL-KNOWN FROM PUBLISHED SCIENTIFIC LITERATURE WHERE FILTER RETRIEVALS ARE REFERRED TO AS SIMPLE VS. COMPLEX. SEVERAL CASE REPORTS PUBLISHED IN SCIENTIFIC LITERATURE DESCRIBE COMPLEX CASES WITH SUCCESSFUL ENDOVASCULAR FILTER RETRIEVALS USING ADDITIONAL, ADVANCED TECHNIQUES. NO EVIDENCE TO SUGGEST THAT THIS DEVICE WAS NOT MANUFACTURED ACCORDING TO SPECIFICATIONS AND NOTHING INDICATES THAT THE FILTER DID NOT PERFORM AS INTENDED, E.G. INTENDED FOR THE PREVENTION OF RECURRENT PULMONARY EMBOLISM (PE) VIA PLACEMENT IN THE VENA CAVA.

Additional Manufacturer Narrative · 1

INVESTIGATION - EVALUATION: INVESTIGATION IS REOPENED DUE TO ADDITIONAL INFORMATION PROVIDED. IT HAS NOT BEEN POSSIBLE TO FURTHER INVESTIGATE OR EVALUATE THIS ALLEGED EVENT BASED ON THE LIMITED INFORMATION PROVIDED TO DATE VIA THE OPERATIVE NOTE STATING "PLAINTIFF IS ALLEGING DEVICE IS UNABLE TO BE RETRIEVED, EMBEDDED, DEEP VEIN THROMBOSIS, RLE SWELLING, TIRED¿. COOK WILL REOPEN ITS INVESTIGATION IF FURTHER INFORMATION IS RECEIVED. UNKNOWN IF THE REPORTED ¿DEEP VEIN THROMBOSIS, RLE SWELLING, TIRED¿ IS DIRECTLY RELATED TO THE FILTER AND UNABLE TO IDENTIFY A CORRESPONDING FAILURE MODE AT THIS POINT IN TIME. FILTER RETRIEVAL IS OCCASIONALLY DIFFICULT. THIS IS WELL-KNOWN FROM PUBLISHED SCIENTIFIC LITERATURE WHERE FILTER RETRIEVALS ARE REFERRED TO AS SIMPLE VS. COMPLEX. SEVERAL CASE REPORTS PUBLISHED IN SCIENTIFIC LITERATURE DESCRIBE COMPLEX CASES WITH SUCCESSFUL ENDOVASCULAR FILTER RETRIEVALS USING ADDITIONAL, ADVANCED TECHNIQUES. NO RELEVANT NOTES FOUND ON WORK ORDER OR DEVICE LOT. NO OTHER COMPLAINTS ON LOT. PRODUCT IS MANUFACTURED AND INSPECTED ACCORDING TO SPECIFICATIONS. NO EVIDENCE TO SUGGEST THAT THIS DEVICE WAS NOT MANUFACTURED ACCORDING TO SPECIFICATIONS AND NOTHING INDICATES THAT THE FILTER DID NOT PERFORM AS INTENDED, E.G. INTENDED FOR THE PREVENTION OF RECURRENT PULMONARY EMBOLISM (PE) VIA PLACEMENT IN THE VENA CAVA.

Additional Manufacturer Narrative · 1

THIS CORRECTED MDR# 1820334-2017-00971 FOLLOW UP 2 IS BEING SUBMITTED TO FILL THE GAP BETWEEN FOLLOW UP 1 AND 3 AS REQUESTED BY FDA CONSUMER SAFETY OFFICER. (B)(4). INVESTIGATION EVALUATION: IT HAS NOT BEEN POSSIBLE TO FURTHER INVESTIGATE OR EVALUATE THIS ALLEGED EVENT BASED ON THE LIMITED INFORMATION PROVIDED TO DATE VIA THE OPERATIVE NOTE STATING "PLAINTIFF IS ALLEGING DEVICE IS UNABLE TO BE RETRIEVED, EMBEDDED, DVT, RLE SWELLING, TIRED¿. COOK WILL REOPEN ITS INVESTIGATION IF FURTHER INFORMATION IS RECEIVED. UNKNOWN IF THE REPORTED ¿DVT, RLE SWELLING, TIRED¿ IS DIRECTLY RELATED TO THE FILTER AND UNABLE TO IDENTIFY A CORRESPONDING FAILURE MODE AT THIS POINT IN TIME. FILTER RETRIEVAL IS OCCASIONALLY DIFFICULT. THIS IS WELL-KNOWN FROM PUBLISHED SCIENTIFIC LITERATURE WHERE FILTER RETRIEVALS ARE REFERRED TO AS SIMPLE VS. COMPLEX. SEVERAL CASE REPORTS PUBLISHED IN SCIENTIFIC LITERATURE DESCRIBE COMPLEX CASES WITH SUCCESSFUL ENDOVASCULAR FILTER RETRIEVALS USING ADDITIONAL, ADVANCED TECHNIQUES. NO EVIDENCE TO SUGGEST THAT THIS DEVICE WAS NOT MANUFACTURED ACCORDING TO SPECIFICATIONS AND NOTHING INDICATES THAT THE FILTER DID NOT PERFORM AS INTENDED, E.G. INTENDED FOR THE PREVENTION OF RECURRENT PULMONARY EMBOLISM (PE) VIA PLACEMENT IN THE VENA CAVA.

Description of Event or Problem · 1

PLAINTIFF ALLEGEDLY RECEIVED AN IMPLANT ON (B)(6) 2010 VIA THE RIGHT COMMON FEMORAL VEIN DUE TO RIGHT LOWER EXTREMITY DVT AND PULMONARY EMBOLISM. PATIENT REPORTS TO BE EXPERIENCING DVT, RLE SWELLING, TIRED. PLAINTIFF ALLEGES ATTEMPTED RETRIEVAL ON (B)(6) 2012. PLAINTIFF IS ALLEGING DEVICE IS EMBEDDED AND IS UNABLE TO BE RETRIEVED.

Description of Event or Problem · 1

NO ADDITIONAL INFORMATION PROVIDED AT THIS TIME.

Description of Event or Problem · 1

NO ADDITIONAL INFORMATION PROVIDED AT THIS TIME.

Description of Event or Problem · 1

PATIENT ALLEGEDLY RECEIVED AN IMPLANT ON (B)(6) 2010 VIA THE RIGHT COMMON FEMORAL VEIN DUE TO RIGHT LOWER EXTREMITY DVT AND PULMONARY EMBOLISM. PATIENT IS ALLEGING DEVICE IS UNABLE TO BE RETRIEVED, EMBEDDED, DVT. PATIENT FURTHER ALLEGES "TIRE EASY, LACK OF MOTIVATION. AFRAID TO EXERT MYSELF, MAY CAUSE FILTER TO MOVE. SWELLING OF LEG." AN ATTEMPTED RETRIEVAL WAS PERFORMED ON (B)(6) 2012 BUT WAS REPORTED TO BE UNSUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
342051 GUNTHER TULIP FEMORAL VENA CAVA FILTER SET DTK FILTER, INTRAVASCULAR, CARDIOVASCULAR DTK COOK INC 2360266

Patients

Seq Age Sex Outcome Treatment
1 49 YR