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| Model Number |
1203300-38 |
| Medical Device Problem Codes |
Break (1069); Difficult to Advance (2920)
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| Health Effect - Clinical Codes |
Pain (1994); Thrombosis/Thrombus (4440)
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| Date of Event |
08/08/2026
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Type of Reportable Event
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Serious Injury
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Event or Problem Description
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It was reported the initial procedure on (b)(6) 2026 was to treat a lesion in the anterior tibial artery (ata).Four esprit btk scaffolds (2.50x38 and three 3.0x38mm) were implanted.Optical frequency domain imaging (ofdi) performed immediately after implantation confirmed good apposition of the scaffolds.The patient had relatively high adl despite chronic limb-threatening ischemia (clti) and reportedly massaged the lower leg because of pain and frequently walked to improve blood flow.The patient returned to the hospital on (b)(6) 2026 and although the great toe wound was healing and showed almost no deterioration, angiography revealed occlusion beginning around the middle of the four implanted esprit scaffolds.Passage of the guidewire was difficult; however, after crossing the lesion, ofdi demonstrated disruption of the 3.0x38mm esprit structure and a fracture.A portion of the guidewire was observed outside the esprit.Although images were not immediately available, the central portion appeared substantially disrupted.The findings were similar to coronary bioresorbable stent thrombosis associated with loss of scaffold support during the resorption process, resulting in protrusion into the vessel lumen and subsequent thrombosis.Following dilation with a 3.0 mm balloon, blood flow improved without issue.No additional information was provided.
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Additional Manufacturer Narrative
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The device was not returned for analysis.Production record and corrective and preventative actions (capa) reviews were performed and revealed no indication of a product quality issue.Additionally, a query of the complaint handling database for the reported lot revealed there is no indication of a lot specific issue.The reported patient effects of thrombosis and pain are listed in the esprit btk everolimus eluting resorbable scaffold systems instructions for use as known patient effects of scaffolding procedures.Based on the information received, the investigation determined that the reported issue appears to be related to operational context as it is likely the advancing guide wire interacted with the implanted esprit btk scaffold causing the reported difficulty to advance (crossability) and subsequent scaffold break.A conclusive cause for the reported patient effects, and the relationship to the product, if any, cannot be determined; however, the subsequent treatment appears to be related to the operational context of the procedure.Based on the results of the complaint investigation, there is no indication of a product quality issue with respect to the design, manufacture, or labeling of the device.C3: 1 per year was entered; however, the frequency is 1 dose per implant.
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Search Alerts/Recalls
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