Model Number A35SX050120080 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problems
Low Blood Pressure/ Hypotension (1914); Ischemia (1942); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
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Event Date 03/15/2018 |
Event Type
Death
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Manufacturer Narrative
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The patient's ethnicity and race are unknown.This information was not available from the facility.The patient's cause of death was unrelated to the study device or procedure.This is being reported as a follow-up to the clinical registry.Patient information regarding relevant tests/laboratory data is unknown.This information was not available from the facility.Report source: foreign- (b)(6).Pma number is not applicable.The device is a commercial product with a ce mark that was used as part of a clinical registry.During the index procedure, the product worked as intended and the device was discarded, thus no product evaluation was required.
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Event Description
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It was reported through a clinical registry that during the index procedure on (b)(6) 2018, a stellarex catheter was used to treat the target lesion of the right distal sfa.Approximately 28 months post index procedure, the patient expired due to critical limb ischemia on (b)(6) 2020.Per clinical evaluation, this is not related to the device or procedure.
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Manufacturer Narrative
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Block h6: added code 1802 (death).Although the cause of death is unrelated to the study device, death is listed in the ifu as a potential complications/ adverse events.Component codes intentionally left blank.No device malfunction was reported during the index procedure.
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Manufacturer Narrative
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Block b5: added additional causes of death provided by the study site.Block h6: added codes 1914 (low blood pressure/ hypotension) and 4581 (appropriate term / code not available).
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Event Description
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Additional information received on 09jun2021: the study site confirmed the patient expired due to leg ischemia, pvd (peripheral vascular disease), type 2 diabetes, and hypotension.
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Search Alerts/Recalls
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