FDA Adverse Event Injury Summary report: N

STENT - VASCULAR RECONSTRUCTION

MDR report key: 9286513 · Received November 6, 2019

Report

Report Number
1226348-2019-01015
Event Type
Injury
Date Received
November 6, 2019
Date of Event
July 31, 2018
Report Date
October 15, 2019
Manufacturer
CODMAN AND SHURTLEFF, INC
Product Code
NJE
PMA / PMN Number
UNK
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

THIS CORRECTION RELATED TO A LITERATURE SOURCE ENTITLED, ¿APPLICATION OF HIGH-RESOLUTION C-ARM CT COMBINED WITH STREAK METAL ARTIFACT REMOVAL TECHNOLOGY FOR THE STENT-ASSISTED EMBOLIZATION OF INTRACRANIAL ANEURYSMS¿ QUANTITY OF PRODUCT INVOLVED SHOULD BE UPDATED FROM 5 TO 1. A TOTAL OF 118 INTRACRANIAL STENTS WERE SUCCESSFULLY USED FOR THE EMBOLIZATION OF 118 ANEURYSMS. 11 OF THESE 118 STENTS WERE ENTERPRISE, SO 9.32% OF PATIENTS RECEIVED AN ENTERPRISE STENT. THEREFORE, IT CAN BE SURMISED THAT 9.32% (11 ÷1 18 = 0.0932) OF THE PATIENTS WHO HAD SPASM RECEIVED THE ENTERPRISE STENT -> 0.466 ~ 1 PATIENT.

Additional Manufacturer Narrative · 1

PRODUCT COMPLAINT # (B)(4). (B)(6). SINCE THE PRODUCT WAS NOT RETURNED FOR ANALYSIS, NO PRODUCT FAILURE ANALYSIS CAN BE CONDUCTED AND NO DETERMINATION OF POSSIBLE CONTRIBUTING FACTORS COULD BE MADE. DEVICE HISTORY RECORD (DHR) REVIEW CANNOT BE CONDUCTED BECAUSE NO LOT NUMBER WAS PROVIDED BY THE CUSTOMER. THIS INFORMATION WAS NOT PROVIDED IN THE REPORTED EVENT OR AVAILABLE AT THE TIME OF REPORT SUBMISSION. INFORMATION REGARDING PATIENT WEIGHT, HEIGHT, MEDICAL HISTORY, RACE, AND ETHNICITY WAS NOT REPORTED. THIS IS ONE OF FOUR PRODUCTS INVOLVED WITH THE REPORTED COMPLAINT AND THE ASSOCIATED MANUFACTURER REPORT NUMBERS ARE  1226348-2019-01014, 1226348-2019-01016, 1226348-2019-01017.

Description of Event or Problem · 1

THIS COMPLAINT IS FROM A LITERATURE SOURCE. AS REPORTED IN THE LITERATURE PUBLICATION ENTITLED, ¿APPLICATION OF HIGH-RESOLUTION C-ARM CT COMBINED WITH STREAK METAL ARTIFACT REMOVAL TECHNOLOGY FOR THE STENT-ASSISTED EMBOLIZATION OF INTRACRANIAL ANEURYSMS.¿ 5 PATIENTS WITH INTRACRANIAL ANEURYSMS WHO UNDERWENT STENT-ASSISTED EMBOLIZATION EXPERIENCED CEREBRAL VASOSPASM. THE GOAL OF THIS STUDY WAS TO EVALUATE THE UTILITY OF HIGH-RESOLUTION C-ARM CT COMBINED WITH STREAK METAL ARTIFACT REMOVAL TECHNOLOGY FOR STENT-ASSISTED EMBOLIZATION OF INTRACRANIAL ANEURYSMS. MATERIALS AND METHODS: FROM OCTOBER 2017 TO JULY 2018, THE FIRST AFFILIATED HOSPITAL OF ZHENGZHOU UNIVERSITY TREATED 107 PATIENTS WITH INTRACRANIAL ANEURYSMS (118 ANEURYSMS IN TOTAL) WITH STENT ASSISTED EMBOLIZATION. CONVENTIONAL C-ARM CT AND HIGH-RESOLUTION C-ARM CT SCANNING OF THE STENTED AREA WERE PERFORMED DURING AND AFTER TREATMENT. 3D IMAGES WERE RECONSTRUCTED WITH AND WITHOUT STREAK METAL ARTIFACT REMOVAL TECHNIQUES. SUBSEQUENTLY, THE IMAGE QUALITY WAS COMPARED. THE RECONSTRUCTED IMAGES INDICATED THE STENT DEPLOYMENT DEGREE AND PACKING DENSITY. FOLLOW-UP ASSESSMENTS INCLUDED CLINICAL AND ANGIOGRAPHIC OUTCOMES AND COMPLICATIONS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1080396 STENT - VASCULAR RECONSTRUCTION INTRACRANIAL NEUROVASCULAR STENT NJE CODMAN AND SHURTLEFF, INC

Patients

Seq Age Sex Outcome Treatment
1 53 YR Other