Advance 14rx Rapid Exchange PTA Balloon Catheter
FDA Clearance Information
The Advance 14RX Rapid Exchange PTA Balloon Catheter was cleared through the FDA 510(k) pathway on April 27, 2009. Manufactured by Cook, it is classified as a Class 2 device under product code DQY.
What It Is
FDA-Cleared Indications
- Dilation of stenotic or obstructed peripheral blood vessels during percutaneous transluminal angioplasty.
- Use in the peripheral vasculature when balloon dilation is clinically indicated.
Clinical Applications
- Balloon angioplasty of narrowed peripheral blood vessels.
- Dilation of venous stenoses or obstructions during endovascular treatment.
- Post-deployment expansion or optimization of a peripheral venous stent when balloon dilation is indicated.
- Treatment of impaired blood flow caused by venous narrowing or obstruction.
Reported off-label uses
- Balloon dilation of selected dialysis access stenoses when the device size and labeling are appropriate.
- Treatment of selected arterial lesions in clinical practice, although the specific vessel and indication should be confirmed against the current device labeling.
Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.
Practical Considerations
- The catheter is designed for rapid exchange over a standard 0.014-inch guidewire; the required guidewire length and compatibility should be confirmed before use.
- Available balloon diameters and lengths vary by model. Select a size appropriate for the target vessel and follow the labeled rated burst pressure.
- The procedure is performed under fluoroscopic imaging, usually through vascular access such as the femoral or jugular vein, depending on the target anatomy.
- Do not overinflate the balloon. Potential complications include vessel dissection, perforation, thrombosis, embolization, bleeding, infection and recurrence of narrowing.
- MRI safety depends on the specific catheter model and whether it remains in the patient. Review the current manufacturer instructions for use; it is generally removed after angioplasty.
Procedures that use this device
Frequently Asked Questions
What is the Advance 14RX Rapid Exchange PTA Balloon Catheter used for?
It is used for percutaneous transluminal angioplasty to dilate narrowed or obstructed veins, often in conjunction with venous stent placements.
What specialties typically use this device?
Interventional radiologists and vascular surgeons commonly use this device in hospital settings.
What are the FDA-cleared indications?
The device is indicated for use in procedures to dilate narrowed or obstructed venous pathways, improving blood flow in conditions like venous insufficiency.