CONTOUR PVA MICROSPHERES UNK90

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 01,03,05,07 report with the FDA on 2015-02-10 for CONTOUR PVA MICROSPHERES UNK90 manufactured by Boston Scientific - Cork.

Event Text Entries

[5333520] Reported via journal article. It was reported that biloma occurred. In a study to compare the efficacy of right portal vein embolization using particles only versus particle and additional central plug and/or coil. Extrahepatic biloma after portal vein embolization occurred. This was treated with ct-guided percutaneous drainage and did not prohibit the planned resection.
Patient Sequence No: 1, Text Type: D, B5


[12837564] Literature citation: geisel, dominik, et. Al. "improved hypertrophy of future remnant liver after protal vein embolization with plugs, coils and particles"; cardiovascular interventional radiology (2014) 37:1251-1258. It is indicated that the device will not be returned for evaluation. A review of the batch history, historical trending, and similar complaint trending review for the product family will be conducted. If there is any further relevant information from that review, a supplemental medwatch will be filed. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2134265-2015-00424
MDR Report Key4502350
Report Source01,03,05,07
Date Received2015-02-10
Date of Report2015-01-14
Date Mfgr Received2015-01-14
Date Added to Maude2015-02-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactEMP. LINDA LEIMER
Manufacturer StreetONE SCIMED PLACE
Manufacturer CityMAPLE GROVE MN 55311
Manufacturer CountryUS
Manufacturer Postal55311
Manufacturer Phone7634941700
Manufacturer G1BOSTON SCIENTIFIC - CORK
Manufacturer StreetBUSINESS AND TECHNOLOGY PARK MODEL FARM ROAD
Manufacturer CityCORK
Manufacturer CountryEI
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCONTOUR PVA MICROSPHERES
Generic NameAGENTS, EMBOLIC, FOR TREATMENT OF UTERINE FIBROIDS
Product CodeNAJ
Date Received2015-02-10
Model NumberUNK90
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBOSTON SCIENTIFIC - CORK
Manufacturer AddressBUSINESS AND TECHNOLOGY PARK MODEL FARM ROAD CORK EI


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-02-10

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