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