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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION INNOVA; STENT, SUPERFICIAL FEMORAL ARTERY

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BOSTON SCIENTIFIC CORPORATION INNOVA; STENT, SUPERFICIAL FEMORAL ARTERY Back to Search Results
Device Problem Fracture (1260)
Patient Problems Thrombosis/Thrombus (4440); Restenosis (4576)
Event Date 10/01/2015
Event Type  Injury  
Event Description
It was reported via journal article that 2 stents fractured resulting in in-stent thrombosis and restenosis.The study compared drug-coated balloon (dcb) and bare metal stent (bms) for primary lesions in femoropopliteal artery disease in chinese population and to make subgroup analysis between the groups.Local anesthesia was used in all operations.Arterial access-site selection was left to the discretion of the investigator.After arterial puncture and placement of a 5-7f introducer sheath, an initial dose 01 5000 iu heparin was administered.Intraluminal or subintimal lesion crossing was performed, using standard guide wires and catheters.Pretreatment for target lesions was then performed with balloon angioplasty.According to the diameter of non lesion arteries, balloons with diameters ranging from small to large were used for predilation.Dcb or bms was then used after predilation depending on the decision of chief surgeon.Dcb was kept inflated for at least 180 second and balloon size selection was based on a visual estimate.Two innova stents in the bms group occurred fracture at 2- and 4-months post operation and resulted in in-stent thrombosis and restenosis.Both patients received endovascular thrombectomy and covered stent insertion afterwards.
 
Manufacturer Narrative
Date of event was approximated based on date of study in the article.Initial reporter address 1: xizhimen south street, west district haocheng ma, xuemin zhang, jing li, quingle li, wei li, yang jiao, jingjun jiang, changshun hem, zhibin he, weihao li, tao zhang, and xiaoming zhang, p.R.China.Mid-term efficacy and safety of drug-coated balloon versus nitinol bare metal stent for primary lesions in femoropopliteal artery disease.Ann vasc surg 2022; 81: 316-323.
 
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Brand Name
INNOVA
Type of Device
STENT, SUPERFICIAL FEMORAL ARTERY
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
two scimed place
maple grove MN 55311
Manufacturer (Section G)
BOSTON SCIENTIFIC SCIMED, INC
two scimed place
maple grove MN 55311
Manufacturer Contact
jay johnson
4100 hamline ave n
arden hills, MN 55112
6515810888
MDR Report Key15906536
MDR Text Key304718545
Report Number2124215-2022-50030
Device Sequence Number1
Product Code NIP
Combination Product (y/n)N
Reporter Country CodeCH
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Literature,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 12/02/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/02/2022
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received11/23/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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