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Adverse Event Report

CORDIS CORPORATION CORDIS CROWN STENT POWERGRIP STENT DELIVERY SYSTEM   back to search results
Catalog Number CS15-040
Device Problems Deploy, failure to; Displacement
Event Date 05/20/1998
Event Type  Malfunction  
Event Description

The stent moved on the stent delivery system.

 
Manufacturer Narrative

Following analysis has been performed on returned product: visual examination: stent was noted to have moved on balloon, approximately 0. 3 cm distally. Functional testing to assess crossing ability, could not be done on the returned unit, as the stent was already off of balloon. In addition, measurement of unit's stent retention force, by pull-tesing returned stent on the instron to determine the force required to move the stent on balloon, could also not be performed, as stent was already off balloon. Dimensional examination found the tip inner diameter, body outer diameter, and stent profile were found to be within dimensional specifications. Device history record review: this is first complaint of this type reported for this sterile lot number up to this date. Review of mfg records for this product revealed stent retention values measured for this lot during quality control testing to be above minimum acceptable criteria. Exact cause of crossing difficulty could not be determined. Many different factors can affect successful crossing of a lesion using this type of catheter. The exact conditions present during actual clinical procedure can not be duplicated in the product performance laboratory. In addition, the exact cause for the stent coming off the balloon could also not be determined, but withdrawal of sds into guiding catheter is contraindicated in the instructions for use for this same reason. Conclusion: complaint confirmed for stent moving on balloon. Cause for stent movement appears related to withdrawal of sds through guiding catheter. Exact cause for difficulty crossing lesion could not be determined.

 
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Brand NameCORDIS CROWN STENT POWERGRIP
Type of DeviceSTENT DELIVERY SYSTEM
Baseline Brand NameCORDIS CROWN STENT POWERGRIP
Baseline Generic NameSTENT DELIVERY SYSTEM
Baseline Catalogue NumberCS15-040
Baseline Device 510(K) Number
Baseline Device PMA Number
Manufacturer (Section F)
CORDIS CORPORATION
14201 n.w. 60th ave
miami lakes FL 33014
Manufacturer (Section D)
CORDIS CORPORATION
14201 n.w. 60th ave
miami lakes FL 33014
Manufacturer (Section G)
CORDIS CORPORATION
14201 n.w. 60th ave.
miami lakes FL 33014
Device Event Key168829
MDR Report Key173639
Event Key163180
Report Number1016427-1998-00286
Device Sequence Number1
Product CodeMAF
Report Source Manufacturer
Source Type Health Professional,Company Representative
Reporter Occupation Other
Type of Report Initial,Followup,Followup
Report Date 06/19/1998
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received06/19/1998
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Health Professional
Device EXPIRATION Date03/01/1999
Device Catalogue NumberCS15-040
Device LOT NumberA0398668
Was Device Available For Evaluation? Device Returned To Manufacturer
Date Returned to Manufacturer06/29/1998
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? No
Distributor Facility Aware Date05/20/1998
Event Location Hospital
Date Report TO Manufacturer05/20/1998
Date Manufacturer Received05/20/1998
Was Device Evaluated By Manufacturer? Yes
Date Device Manufactured03/01/1998
Is The Device Single Use? Yes
Is the Device an Implant? Yes
Is this an Explanted Device? No Answer Provided
Type of Device Usage Initial

Database last updated on February 28, 2009

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