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Adverse Event Report

CORDIS, A JOHNSON AND JOHNSON COMPANY PALMAZ BALLOON EXPANDABLE STENT WITH DELIVERY STENT ENDOVASCULAR STENT WITH DELIVERY SYSTEM   back to search results
Catalog Number P3008M
Event Date 01/27/1998
Event Type  Injury   Patient Outcome  Required Intervention;
Manufacturer Narrative

The date recorded in section b3 was provided by the cordis sales rep who stated that the procedure date was sometime in the last week of january - probably the date of 1/27/98. The product labeling states the following: 1. The p3008 is indicated for use in pt's with obstruction of major biliary ducts. 2. Use of an inflation device with a manometer is recommended during this procedure to minimize the risk of overinflation. 3. Recommends a 10f introducer sheath.

 
Event Description

Prior to introducing a endovascular stent with delivery system, the pt's vasculature was accessed via cutdown with a 9f introducer sheath rather then through percutaneous puncture. Subsequently, the sds was successfully advanced to the target lesion site in the pt's left common iliac. Upon the initial inflation attempt. It was reported that the balloon catheter only inflated to a 1/2 atm of pressure before losing pressure entirely. In response, a 10cc syringe filled with diluted contrast media for a rapid injection was utilized. As a result, the balloon ruptured instead of inflating resulting in the partial deployment of the stent. To address this occurrence, the delivery balloon and the stent were withdrawn to the distal tip of the introducer sheath. An unsuccessful attempt was made to withdraw the delivery balloon from the sheath and the sheath from the artery. The femoral access site was widened in response by increasing the length of the cut-down and all devices were successfully withdrawn. Another device was used to successfully advance and deploy a stent at the target lesion site. There was no add'l complications reported relative to this event.

 
Search Alerts/Recalls

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Brand NamePALMAZ BALLOON EXPANDABLE STENT WITH DELIVERY STENT
Type of DeviceENDOVASCULAR STENT WITH DELIVERY SYSTEM
Baseline Brand NameSTENT PER 30MM8-12MM LGE SDS4X
Baseline Generic NameENDOVASCULAR SDS/STENTS
Baseline Catalogue NumberP3008M
Baseline Device FamilyENDOVASCULAR SDS/STENTS
Baseline Device 510(K) NumberK911581
Baseline Device PMA Number
Baseline Shelf Life Information Yes
Baseline Preamendment? No
Transitional? No
510(K) Exempt? No
Shelf Life(Months)27
Date First Marketed06/04/1991
Manufacturer (Section F)
CORDIS, A JOHNSON AND JOHNSON COMPANY
40 technology dr.
warren NJ 07059
Manufacturer (Section D)
CORDIS, A JOHNSON AND JOHNSON COMPANY
40 technology dr.
warren NJ 07059
Manufacturer (Section G)
CORDIS CORPORATION
45 technology dr.
warren NJ 07059
Manufacturer Contact
carolyn schaefer, r.n.,m.s.
14201 n.w. 60th ave
miami lakes , FL 33014
(305) 824 -2532
Device Event Key156525
MDR Report Key160733
Event Key151055
Report Number2247023-1998-00024
Device Sequence Number1
Product CodeMAF
Report Source Manufacturer
Source Type Health Professional,User facility,Company Representative
Reporter Occupation Nurse
Type of Report Initial
Report Date 02/27/1998
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received04/01/1998
Is This An Adverse Event Report? Yes
Is This A Product Problem Report? No
Device Operator Health Professional
Device EXPIRATION Date12/31/1998
Device Catalogue NumberP3008M
Device LOT Number129496
Was Device Available For Evaluation? Device Returned To Manufacturer
Date Returned to Manufacturer03/04/1998
Is The Reporter A Health Professional? Yes
Was the Report Sent to FDA? No
Distributor Facility Aware Date01/27/1998
Device Age14 yr
Event Location Hospital
Date Report TO Manufacturer02/27/1998
Date Manufacturer Received02/27/1998
Was Device Evaluated By Manufacturer? Yes
Date Device Manufactured06/01/1997
Is The Device Single Use? Yes
Is the Device an Implant? Yes
Is this an Explanted Device?
Type of Device Usage Initial

Database last updated on February 28, 2009

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