It was reported that on (b)(6) 2021, the mid left anterior descending (lad) artery was pre-dilatated with a semi-complaint balloon a 3.5x48mm xience xpedition stent was implanted with no issues at 6 atmospheres.During the 12 month follow up heavy stenosis was noted in the proximal lad and 1st diagonal artery, and on (b)(6) 2023 4.0x18mm xience skypoint stent was implanted in proximal lad.First diagonal was planned to be treated on another date.On (b)(6) 2023, restenosis was confirmed only at the proximal lad where the 4.0x18mm xience skypoint was implanted.A drug coated balloon was used to treat the restenosis and treatment of the 1st diagonal was terminated as an unspecified guide wire failed to cross the lesion.There was no adverse patient sequela and no clinically significant delay.No additional information was reported.
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The device was not returned for evaluation.A review of the lot history record and complaint history of the reported lot could not be conducted because the lot number was not provided.A conclusive cause for the reported patient effect, and the relationship to the product, if any, cannot be determined; however, the reported treatments appear to be related to the operational context of the procedure.The reported patient effect of thrombosis is listed in the xience skypoint, everolimus eluting coronary stent system (eecss), electronic instructions for use as a known patient effect of coronary stenting procedures.There is no indication of a product quality issue with respect to manufacture, design, or labeling.
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