H10: manufacturing review: the device history records have been reviewed and this lot met all release criteria.There was nothing found to indicate there was a manufacturing related cause for this event.Investigation summary: the device was not returned for evaluation.Medical records were provided and reviewed.Approximately four years and nine months later, abdomen one view showed the filter at the level of l3-l4.One of the prongs of the umbrella was pointed upward, all others downward.After three years and eleven months, computed tomography of the abdomen and pelvis revealed perforation greater than 3 mm outside the vena cava and superior leg may be fractured vs bent.After two days, the patient presented for filter retrieval, venous access was obtained in the right internal jugular vein using ultrasound guidance.This access was upsized to accept a 16 french long vascular sheath which was positioned just above the filter.Next, using endobronchial forceps, the filter was retrieved without complication.After two days, unspecified study showed fractured leg.Therefore, the investigation is confirmed for alleged filter limb detachment, material deformation and the perforation of the inferior vena cava.A definitive root cause for the alleged filter limb detachment, material deformation and the perforation of the inferior vena cava could not be determined based upon the provided information.Labeling review: the review of the ifu (instructions for use), indications, warnings, precautions, cautions, possible complications, and contraindications showed that the product labeling is adequate.H10: d4 (expiry date: 08/2011), g4.H11: h6(result, conclusion).H11: section a through f: the information provide by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.H3 other text : device not returned.
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