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Recall Observatory FDA recall evidence

Device product

Formula 418 Renal Balloon-Expandable Stent, RPN FOR418-18-80-6-12, Order Number (GPN) G56611 Balloon-expandable stent made of 316L stainless steel with a slotted tube configuration. It is pre-mounted on an over-the-wire balloon catheter, which serves as the delivery system. The stent is positioned between two radiopaque marker bands, which are located inside the balloon at the proximal and distal tapers of the balloon.

Z-1940-2020

April 15, 2020

Class II

Product summary

Firm
Cook Inc.
Event
Event 85456
Status
Terminated
Classification
Class II
Quantity
10
Official record key
device-enforcement:Z-1940-2020

Official wording

Reason: The firm received complaints on five devices from one specific lot where the stent dislodged from the balloon delivery system prior to deployment. Use of affected product may lead to increased procedural time and additional intervention to remove a stent that dislodged within an unintended location.

Code information: Lot number 10153876

Distribution pattern: Domestic distribution to OH, IA, VA, and NC. Foreign distribution to Canada.

Derived failure modes

  • Unknown

    reason.no_named_rule · v1.0.0

    The firm received complaints on five devices from one specific lot where the stent dislodged from the balloon delivery system prior to deployment. Use of affected product may lead to increased procedural time and additional intervention to remove a stent that dislodged within an unintended location.