FDA Adverse Event Other Summary report: N

XCEED NITINOL SELF-EXPANDING TRASHEPATIC BILIARY STENT SYSTE

MDR report key: 838416 · Received February 16, 2007

Report

Report Number
2953144-2007-00071
Event Type
Other
Date Received
February 16, 2007
Date of Event
January 3, 2007
Report Date
January 17, 2007
Manufacturer
ABBOTT VASCULAR INC.
Product Code
FGE
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

BASED ON AVAILABLE INFORMATION, DEVICE MALFUNCTION COULD NOT BE IDENTIFIED. REVIEW OF THE DEVICE HISTORY RECORD FOR THIS LOT DID NOT PRODUCE ANY FINDINGS ATTRIBUTED TO THIS INCIDENT.

Description of Event or Problem · 1

A PHYSICIAN ATTEMPTED TO DEPLOY AN XCEED STENT INTO THE LEFT SUPERFICIAL FEMORAL ARTERY. THE STENT WOULD NOT COMPLETELY DEPLOY. THE STENT WAS REMOVED AND REPLACED WITH ANOTHER 7MM XCEED STENT. THERE WERE NO REPORTS OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 XCEED NITINOL SELF-EXPANDING TRASHEPATIC BILIARY STENT SYSTE BILIARY CATHETER AND ACCESSORIES FGE ABBOTT VASCULAR INC. NA 45069-6H

Patients

Seq Age Sex Outcome Treatment
1 YR Other