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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDTRONIC IRELAND ONYX TRUCOR; CORONARY DRUG-ELUTING STENT

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MEDTRONIC IRELAND ONYX TRUCOR; CORONARY DRUG-ELUTING STENT Back to Search Results
Model Number TRCR30038X
Device Problems Material Deformation (2976); Positioning Problem (3009)
Patient Problem No Clinical Signs, Symptoms or Conditions (4582)
Event Date 02/14/2024
Event Type  malfunction  
Manufacturer Narrative
Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
Event Description
An attempt was made to use one onyx trucor coronary drug eluting stent to treat a lesion.It was reported that stent deformation occurred in vivo during positioning/advancement. it was stated that the stent couldn't pass through the lesion.No patient injury reported.Please note that this device (onyx trucor) is not marketed in the united states; however, the device is deemed the same as the united states marketed device (resolute onyx rx).
 
Manufacturer Narrative
Additional information: the lesion had 30% calcification, with 20 degrees of tortuosity and 95% stenosis, located in the right coronary artery (rca).The lesion was pre-dilated.The device did not pass through a previously deployed stent.Resistance was encountered while advancing the device.Excessive force was not used.The device was replaced with another medtronic device of the same size.Patient information added to section a.Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.
 
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Brand Name
ONYX TRUCOR
Type of Device
CORONARY DRUG-ELUTING STENT
Manufacturer (Section D)
MEDTRONIC IRELAND
parkmore business park west
galway
EI 
Manufacturer (Section G)
MEDTRONIC IRELAND
parkmore business park west
galway
EI  
Manufacturer Contact
alison sweeney
parkmore business park west
galway 
EI  
091708096
MDR Report Key18999817
MDR Text Key338933170
Report Number9612164-2024-01494
Device Sequence Number1
Product Code NIQ
Combination Product (y/n)N
Reporter Country CodeTU
PMA/PMN Number
P160043
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Foreign,Health Professional,Company Representative
Reporter Occupation Physician
Type of Report Initial
Report Date 03/27/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received03/28/2024
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberTRCR30038X
Device Catalogue NumberTRCR30038X
Device Lot Number0011993601
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Date Manufacturer Received03/14/2024
Date Device Manufactured10/13/2023
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Age54 YR
Patient SexMale
Patient Weight73 KG
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