FDA Adverse Event
Injury
Summary report: N
ZILVER PTX 35 DRUG-ELUTING STENT
MDR report key: 9201985
·
Received October 17, 2019
Report
- Report Number
- 3005580113-2019-00588
- Event Type
- Injury
- Date Received
- October 17, 2019
- Report Date
- October 17, 2019
- Manufacturer
- COOK IRELAND LTD
- Product Code
- NIU
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- OH, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THIS EVENT HAS BEEN REPORTED BY THE MANUFACTURER UNDER MDR # 3001845648-2019-00546. NIU STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING.
Description of Event or Problem · 1
AS REPORTED TO CUSTOMER RELATIONS: "THE FP TARGET LESIONS WERE CROSSED USING CONVENTIONAL WIRE AND CATHETER TECHNIQUES, FOLLOWED BY PREDILATION WITH A BALLOON ONE SIZE SMALLER THAN THE REFERENCE VESSEL DIAMETER TO ALLOW FOR STENT PLACEMENT. THE STENT(S) WERE POST DILATED WITH BALLOONS SIZED IN A 1:1 RATIO WITH THE NORMAL VESSEL DIAMETER. THE REINTERVENTIONS INVOLVED 7 (8%, P=0.021) FDJ PATIENTS WHO UNDERWENT SURGICAL BYPASS/REPAIR." "7/89 PATIENTS REQUIRED SURGICAL BYPASS/REPAIR."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 998166 | ZILVER PTX 35 DRUG-ELUTING STENT | NIU | COOK IRELAND LTD | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening| R |