FDA Adverse Event
Injury
Summary report: N
ENDEAVOR SPRINT RX
MDR report key: 7027223
·
Received November 14, 2017
Report
- Report Number
- 9612164-2017-01604
- Event Type
- Injury
- Date Received
- November 14, 2017
- Date of Event
- September 1, 2017
- Report Date
- November 14, 2017
- Manufacturer
- MEDTRONIC IRELAND
- Product Code
- NIQ
- PMA / PMN Number
- P060033
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KS
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
LITERATURE REFERENCE: DOI.ORG/10.4070/KCJ.2017.0016. (B)(4). A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.
Description of Event or Problem · 1
A 1,672 PATIENTS WERE RANDOMISED IN THE TRIAL AND 271 OF THESE HAD ENDEAVOR SPRINT DRUG ELUTING STENT IMPLANTED. AT THE 1, 3, 6 AND 12 MONTHS FOLLOW UP, PATIENT DEATH WAS REPORTED ALONG WITH TARGET LESION RELATED MYOCARDIAL INFARCTION, REVASCULARIZATION OF TARGET LESION, STENT EDGE DISSECTION, OCCLUSION AND STENT THROMBOSIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 810378 | ENDEAVOR SPRINT RX | STENT, CORONARY, DRUG-ELUTING | NIQ | MEDTRONIC IRELAND | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 64 YR | Life Threatening |