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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 Entrapment of Device (1212); Activation, Positioning or Separation Problem (2906)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 06/27/2023
Event Type  malfunction  
Event Description
It was reported that this device partially deployed.This 7x120, 130 cm eluvia drug-eluting vascular stent system was selected for use in an endovascular therapy procedure.The 100% stenosed, moderately tortuous, and mildly calcified lesion was located in the superficial femoral artery.During the procedure, a crossover approach was used, and plain old balloon angioplasty (poba) was performed for the lesion using a non-boston scientific balloon.Then an eluvia stent was placed from the peripheral side along with a second eluvia stent to cover the lesion more fully.During deployment of this third eluvia stent, the thumbwheel became idle with one to two centimeters of the stent left to deploy.Therefore, the stent was fully deployed by pulling the entire handle.Then the guidewire and shaft became stuck and had to be removed together.There was no patient injury.
 
Event Description
It was reported that this device partially deployed.This 7x120, 130 cm eluvia drug-eluting vascular stent system was selected for use in an endovascular therapy procedure.The 100% stenosed, moderately tortuous, and mildly calcified lesion was located in the superficial femoral artery.During the procedure, a crossover approach was used, and plain old balloon angioplasty (poba) was performed for the lesion using a non-boston scientific balloon.Then an eluvia stent was placed from the peripheral side along with a second eluvia stent to cover the lesion more fully.During deployment of this third eluvia stent, the thumb wheel became idle with one to two centimeters of the stent left to deploy.Therefore, the stent was fully deployed by pulling the entire handle.Then the guidewire and shaft became stuck and had to be removed together.There was no patient injury.
 
Manufacturer Narrative
Device eval by manufacturer: upon receipt at our post market quality assurance laboratory, this eluvia drug-eluting vascular stent system was inspected for damage.Visual examination revealed a kink to the outer sheath at the nosecone.Microscopic and x-ray examination revealed no additional damages.Inspection of the remainder of the device presented no other damage or irregularities.Product analysis found a kink on the device that may have contributed to the reported event.
 
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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 Key17258874
MDR Text Key318649799
Report Number2124215-2023-35071
Device Sequence Number1
Product Code NIU
Combination Product (y/n)Y
Reporter Country CodeJA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional,Company Representative,Distributor
Reporter Occupation Physician
Type of Report Initial,Followup
Report Date 08/24/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model Number24653
Device Catalogue Number24653
Device Lot Number0029744877
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 07/03/2023
Initial Date FDA Received07/05/2023
Supplement Dates Manufacturer Received08/02/2023
Supplement Dates FDA Received08/24/2023
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured06/22/2022
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
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