FDA Adverse Event Injury Summary report: N

TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STENT

MDR report key: 782551 · Received November 15, 2006

Report

Report Number
6000093-2006-02353
Event Type
Injury
Date Received
November 15, 2006
Report Date
October 20, 2006
Manufacturer
BOSTON SCIENTIFIC CORP.
Product Code
NIQ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CT, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE DELIVERY DEVICE WAS DISCARDED BY THE HOSP AND THE STENT REMAINS IMPLANTED IN THE PT, THEREFORE, NO DIRECT PRODUCT ANALYSIS IS AVAILABLE. THE CAUSE OF THE DIFFICULTIES STATED IN THE COMPLAINT COULD NOT BE DETERMINED.

Description of Event or Problem · 1

IT WAS REPORTED THAT POST A CORONARY DRUG ELUTING STENTING TREATMENT PROCEDURE, A THROMBOSIS OCCURRED.. "MALE PT HAD STOP USING PLAVIX FOR OVER SIX MONTHS POST PCI, BUT UNDER ONE YEAR FOR A SPINAL INJECTION. DO NOT KNOW WHEN THROMBOSIS OCCURRED, BUT THROMBOSED STENT LED TO AN MI. ES IS LESS THAN 20%." ADDITIONAL INFORMATION REGARDING THIS EVENT HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TAXUS EXPRESS2 PACLITAXEL-ELUTING CORONARY STENT DRUG COATED STENT NIQ BOSTON SCIENTIFIC CORP. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Required Intervention