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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, Positioning or Separation Problem (2906); Material Deformation (2976); Positioning Problem (3009)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/02/2024
Event Type  Injury  
Event Description
It was reported that stent elongation with bad apposition occurred requiring additional intervention.A 6x120, 130 cm eluvia drug-eluting vascular stent system was selected for use during a femoral cross-over dilation procedure.During deployment, there was difficulty and the knob jolted.The notch was fully deployed, while the stent was still mostly undeployed.The retrieval of the device resulted in the deployment of the stent and stent elongation with bad apposition.Two additional stents were used to cover the elongated stent.
 
Manufacturer Narrative
Device evaluated by mfr: the returned product consisted of an eluvia drug-eluting vascular stent system.The outer sheath, tip, inner sheath and the remainder of the device were checked for damage.Visual examination revealed multiple kinks to the sheath.The pull rack is separated at the handle.The proximal end of the separated pull rack did not return for analysis.Microscopic examination revealed no additional damages.
 
Event Description
It was reported that elongation with bad apposition occurred requiring additional intervention.A 6x120, 130 cm eluvia drug-eluting vascular stent system was selected for use during a femoral cross-over dilation procedure.During deployment, there was difficulty and the knob jolted.The notch was fully deployed, while the stent was still mostly undeployed.The retrieval of the device resulted in the deployment of the stent and stent elongation with bad apposition.Two additional stents were used to cover the elongated stent.
 
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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 Key18767571
MDR Text Key336113070
Report Number2124215-2024-09259
Device Sequence Number1
Product Code NIU
Combination Product (y/n)Y
Reporter Country CodeFR
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 05/21/2024
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 Model Number24653
Device Catalogue Number24653
Device Lot Number0030825445
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 02/09/2024
Initial Date FDA Received02/23/2024
Supplement Dates Manufacturer Received04/29/2024
Supplement Dates FDA Received05/21/2024
Was Device Evaluated by Manufacturer? Yes
Date Device Manufactured12/09/2022
Is the Device Single Use? Yes
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
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