FDA Adverse Event Injury Summary report: N

WALLSTENT ENDOPROSTHESIS WITH UNISTEP PLUS DELIVERY SYSTEM

MDR report key: 6844948 · Received September 6, 2017

Report

Report Number
2134265-2017-08720
Event Type
Injury
Date Received
September 6, 2017
Date of Event
September 24, 2015
Report Date
August 15, 2017
Manufacturer
BOSTON SCIENTIFIC - GALWAY
Product Code
FGE
PMA / PMN Number
K993232
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EU
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

COMPARISON OF TECHNICAL AND CLINICAL OUTCOME OF TRANSJUGULAR PORTOSYSTEMIC SHUNT PLACEMENT BETWEEN A BARE METAL STENT AND A PTFE-STENTGRAFT DEVICE, J. LAUERMANN CARDIOVASC INTERVENT RADIOL (2016) 39:547¿556. DEVICE EVALUATED BY MANUFACTURER: THE DEVICE WAS NOT RECEIVED FOR ANALYSIS. THE CAUSE OF THE REPORTED DIFFICULTIES COULD NOT BE DETERMINED. (B)(4).

Description of Event or Problem · 1

REPORTED VIA JOURNAL ARTICLE THAT SOME PATIENTS ENROLLED IN THE STUDY THAT RECEIVED A WALLSTENT EXPERIENCED LIVER CAPSULE PERFORATION, STENOSIS/OCCLUSION AND HEPATIC ENCEPHALOPATHY. THE AIM OF THE STUDY WAS TO REVIEW PATIENT¿S RECEIVING A TIPS (TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT) PROCEDURE. PATIENTS WERE TREATED WITH A WALLSTENT OR A POLYTETRAFUOROETHYLEN STENTGRAFT DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
625526 WALLSTENT ENDOPROSTHESIS WITH UNISTEP PLUS DELIVERY SYSTEM CATHETER, BILIARY, DIAGNOSTIC FGE BOSTON SCIENTIFIC - GALWAY UNK479

Patients

Seq Age Sex Outcome Treatment
1