FDA Adverse Event Injury Summary report: N

TAXUS LIBERTE PACLITAXEL-ELUTING CORONARY STENT

MDR report key: 763117 · Received September 18, 2006

Report

Report Number
6000089-2006-02037
Event Type
Injury
Date Received
September 18, 2006
Date of Event
June 25, 2006
Report Date
August 24, 2006
Manufacturer
BOSTON SCIENTIFIC CORP.
Product Code
NIQ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
EZ
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

A UNIT HAS NOT BEEN RETURNED FOR REVIEW THEREFORE A TECHNICAL ANALYSIS CANNOT BE CARRIED OUT. WITHOUT A RETURNED UNIT, IT IS NOT POSSIBLE TO CONFIRM HOW THE DEICE MAY HAVE CONTRIBUTED TO THE COMPLAINT INCIDENT. A REVIEW OF THE MFG RECORDS FOR THIS PARTICULAR BATCH NAMELY TOP ASSEMBLY BATH # 8172883 FOUND THAT THE DEVICE MET ITS MATERIAL, ASSEMBLY AND PRODUCT SPECIFICATIONS, AT THE TIME OF RELEASE TO DISTRIBUTION.

Description of Event or Problem · 1

CLINICAL TRIAL. IT WAS REPORTED THAT 144 DAYS POST INDEX PROCEDURE, THE PT EXPERIENCED A MYOCARDIAL INFARCTION (MI), A STENT THROMBOSIS (ST) AND SUBSEQUENT TARGET VESSEL REVASCULARIZATION (TVR). THE INDEX PROCEDURE TREATED A DE NOVO BIFURCATED LESION IN THE PROXIMAL LEFT ANTERIOR DESCENDING (LAD) ARTERY. THE LESION WAS 3.5 MM WIDE, 28 MM LONG AND 75% STENOSED. THERE WAS MILD TORTUOSITY. THE PHYSICIAN DIRECT STENTED THE LESION WITH A 3.0 X 32 MM TAXUS LIBERTE STENT. POST DILATATION STENOSIS WAS 0%. THE PT WAS DISCHARGED 6 DAYS POST INDEX PROCEDURE RECEIVING ASPIRIN AND PLAVIX. ON DAY 144, THE PT EXPERIENCED A Q-WAVE MI. ECG AND ENZYMES WERE CONSISTENT WITH MI. THE PT UNDERWENT ANGIOGRAPHY, WHICH REVELED THE ST IN THE PROX LAD. THE PT HAD BALLOON ANGIOPLASTY TO THE PROX RCA, REDUCING THE STENOSIS FROM 100% TO 0%. THE EVENT WAS CONSIDERED RESOLVED AFTER TVR. AS OF NOTE, THE PT HAD STOPPED TAKING PLAVIX 24 DAYS BEFORE THE EVENTS OCCURRED. IN THE OPINION OF THE PHYSICIAN, THERE IS A POSSIBLE RELATIONSHIP BETWEEN THE MI/ST/TVR AND THE LIBERTE STENTS. THIS PRODUCT IS ONLY OUS APPROVED, BUT IS SIMILAR TO A MARKETED US DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAXUS LIBERTE PACLITAXEL-ELUTING CORONARY STENT DRUG COATED STENT NIQ BOSTON SCIENTIFIC CORP. 3.0 X 32 MM 8172883

Patients

Seq Age Sex Outcome Treatment
1 42 YR Hospitalization| L| R