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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BOSTON SCIENTIFIC CORPORATION ELUVIA DRUG-ELUTING VASCULAR STENT SYSTEM; STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING

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BOSTON SCIENTIFIC CORPORATION ELUVIA DRUG-ELUTING VASCULAR STENT SYSTEM; STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING Back to Search Results
Model Number 24653
Device Problems Activation Failure (3270); Poor Visibility (4072)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 05/20/2023
Event Type  Injury  
Event Description
It was reported that the stent failed to fully expand, and the stent was difficult to visualize under fluoroscopy.This eluvia drug-eluting vascular stent system 6x100, 130 cm was selected for use in a percutaneous transluminal angioplasty and stenting procedure in the superficial femoral artery.During the procedure, the stent did not fully expand, and the stent strut was difficult to visualize under fluoroscopy.The procedure was completed with a different stent.No patient complications were reported.
 
Event Description
It was reported that the stent failed to fully expand, and the stent was difficult to visualize under fluoroscopy.This eluvia drug-eluting vascular stent system 6x100, 130 cm was selected for use in a percutaneous transluminal angioplasty and stenting procedure in the superficial femoral artery.During the procedure, the stent did not fully expand, and the stent strut was difficult to visualize under fluoroscopy.The procedure was completed with a different stent.No patient complications were reported.
 
Manufacturer Narrative
Device eval by manufacturer: upon receipt at our post market quality assurance laboratory, this eluvia drug-eluting vascular stent system 6x100, 130 cm was inspected for damage.Visual examination revealed multiple kinks along the sheath.Microscopic examination revealed no additional damages.The thumbwheel lock and pull rack were still in the manufactured position and the stent was still inside the sheath.X-ray evaluation revealed that the stent could be visualized.Inspection of the remainder of the device, revealed no other damage or irregularities.Product analysis found no damage that could have contributed to the failure to expand or the not visible under fluoroscopy.
 
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Brand Name
ELUVIA DRUG-ELUTING VASCULAR STENT SYSTEM
Type of Device
STENT, SUPERFICIAL FEMORAL ARTERY, DRUG-ELUTING
Manufacturer (Section D)
BOSTON SCIENTIFIC CORPORATION
300 boston scientific way
marlborough MA 01752
Manufacturer (Section G)
BOSTON SCIENTIFIC CORPORATION
ballybrit business park
galway
EI  
Manufacturer Contact
rachel shields
4100 hamline ave n
arden hills, MN 55112
6512422111
MDR Report Key17117190
MDR Text Key317047555
Report Number2124215-2023-26333
Device Sequence Number1
Product Code NIU
Combination Product (y/n)Y
Reporter Country CodeKS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 08/07/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date06/30/2023
Device Model Number24653
Device Catalogue Number24653
Device Lot Number0027661525
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 05/20/2023
Initial Date FDA Received06/13/2023
Supplement Dates Manufacturer Received07/12/2023
Supplement Dates FDA Received08/07/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/30/2021
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age65 YR
Patient SexMale
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