MAUDE Adverse Event Report: COVIDIEN EVERFLEX SELF-EXPANDING PERIPHERAL STENT WITH ENTRUST DELIVERY SYSTEM LONG; STENT, SUPERFICIAL FEMORAL ARTERY

Catalog Number EVD35-07-150-150

Device Problems Difficult or Delayed Positioning (1157); Retraction Problem (1536)

Patient Problem No Consequences Or Impact To Patient (2199)

Event Date 03/22/2018

Event Type  malfunction  

Manufacturer Narrative

If information is provided in the future, a supplemental report will be issued.

Event Description

It was reported that the physician attempted to use a 6 x 150 everflex entrust device to treat a moderately tortuous and calcified left distal sfa 120mm lesion exhibiting 80% stenosis.Access was through the left brachial artery.The vessel diameter was reported to be 6mm in diameter.A non-medtronic 6f sheath and a non-mdt 018 guidewire were used.Embolic protection was not used.The device was removed from its packaging and inspected with no issues noted.The ifu was followed during prep.The lesion was predilated with a 4mm device.The device passed through a previously deployed aaa endograft stent which had a pronounced angle in the aorta at the level of the renal arteries.It was reported that the device would not deploy and the device was withdrawn.The lesion area was redilated with a 6mm balloon.The physician then opened a new 7 x 150 everlfex entrust device.A non-medtronic 6f sheath and a non-mdt 035 guidewire were used.Embolic protection was not used.The device was removed from its packaging and inspected with no issues noted.The ifu was followed during prep.Access was through the ledt brachial artery.The device passed through a previously deployed aaa endograft stent which had a pronounced angle in the aorta at the level of the renal arteries.The thumbscrew and lock pin were checked for securement prior to the procedure.No resistance was encountered when advancing this device, and no excessive force was used.The lock-pin was removed just prior to making the deployment attempt.It was reported that the on deployment, the stent only partially deployed when the thumbwheel became faulty.The physician had to take the thumbwheel handle apart and the catheter itself was used to deploy the stent with difficulty.It was reported that the stent was deployed at the limit of where it could reach.No patient injury was reported.After stent deployment, the lesion was post dilated.

Manufacturer Narrative

Evaluation summary: the everflex entrust stent delivery system, (sds), was received for evaluation.No ancillary devices from the procedure were received for evaluation.The everflex entrust sds was received with the red safety tab removed from the handle and the handle opened at its seam.The red safety tab and tube were not returned with the sds.The pull cable was still attached to the thumb wheel and outer sheath.The distal end of the outer sheath exhibited kinking and torsional twisting damage.A sharp kink in the outer sheath was noted.A kink in the gold isolation sheath was also noted.The inner guidewire lumen exhibited accordion folding just proximal to the handle¿s proximal luer lock.An attempt was made to slide the blue and gold isolation sheath proximally.Due to the kink in the gold isolation sheath the sheaths could not be advanced proximally to expose the proximal end of the outer sheath bond to the pull cable.If information is provided in the future, a supplemental report will be issued.

• Brand Name: EVERFLEX SELF-EXPANDING PERIPHERAL STENT WITH ENTRUST DELIVERY SYSTEM LONG
• Type of Device: STENT, SUPERFICIAL FEMORAL ARTERY
• Manufacturer (Section D): COVIDIEN; 4600 nathan lane north; plymouth MN 55442
• Manufacturer (Section G): COVIDIEN; 4600 nathan lane north; plymouth MN 55442
• Manufacturer Contact: toni o'doherty ; parkmore business park west; galway ; 091708734
• MDR Report Key: 7446174
• MDR Text Key: 106157203
• Report Number: 2183870-2018-00237
• Device Sequence Number: 1
• Product Code: NIP
• UDI-Device Identifier: 00821684051719
• UDI-Public: 00821684051719
• Combination Product (y/n): N
• Reporter Country Code: US
• PMA/PMN Number: P110023
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,health
• Reporter Occupation: Physician
• Type of Report: Initial,Followup
• Report Date: 05/28/2018

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/20/2018
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Expiration Date: 04/02/2020
• Device Catalogue Number: EVD35-07-150-150
• Device Lot Number: A439062
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 04/23/2018
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 04/30/2018
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 04/03/2017
• Is the Device Single Use?: Yes
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1
• Patient Age: 92 YR
• Patient Weight: 59