ATRIUM ADVANTA V12 LARGE DIAMETER COVERED STENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2016-09-30 for ATRIUM ADVANTA V12 LARGE DIAMETER COVERED STENT manufactured by Atrium Medical Corporation.

Event Text Entries

[56033311] Per the study both bare and covered stent implantation for aortic coarctation is a rare and efficacious treatment.
Patient Sequence No: 1, Text Type: N, H10


[56033312] Received an article titled "from bare to covered: 15 year single center experience and follow-up in trans-catheter stent implantation for aortic coarctation" published in catheterization and cardiovascular interventions the article reported comparatively 15-year experience of bare and covered stent implantation for coarctation in a single tertiary referral center. Included were 143 patients between 1997 and 2011. Per the article the following were the adverse events: one femoral artery stenosis post surgical hemostasis. Fifteen with restenosis related to neointimal hyperplasia (proliferation and migration of vascular smooth muscle cells primarily in the tunica intima, resulting in the thickening of arterial walls and decreased arterial lumen space triggered by injury to the intima during catheterization procedures). One had an arterio-venous fistula - self limiting. One with radial access developed hand ischemia.
Patient Sequence No: 1, Text Type: D, B5


[57630951] Email received from physician: "no advanta stent was associated to complications in that article. "
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219977-2016-00207
MDR Report Key5990326
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2016-09-30
Date of Report2016-09-12
Date Mfgr Received2016-10-01
Date Added to Maude2016-09-30
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 FDA3
Event Location3
Manufacturer ContactMS. LYNDA MCLAUGHLIN RN, CCRN-K
Manufacturer Street40 CONTINENTAL BLVD
Manufacturer CityMERRIMACK NH 03054
Manufacturer CountryUS
Manufacturer Postal03054
Manufacturer Phone6038645470
Manufacturer G1ATRIUM MEDICAL CORPORATION
Manufacturer Street5 WENTWORTH DRIVE
Manufacturer CityHUDSON NH 03051
Manufacturer CountryUS
Manufacturer Postal Code03051
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameATRIUM ADVANTA V12 LARGE DIAMETER COVERED STENT
Generic NamePTFE COVERED STENT
Product CodePNF
Date Received2016-09-30
OperatorPHYSICIAN
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerATRIUM MEDICAL CORPORATION
Manufacturer Address5 WENTWORTH DRIVE HUDSON NH 03051 US 03051


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2016-09-30

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