Contour Se Microspheres
FDA Clearance Information
Contour SE Microspheres were cleared by the FDA through the 510(k) pathway on August 22, 2002. Manufactured by Boston Scientific, they are classified as Class 2 devices.
What It Is
FDA-Cleared Indications
- Embolization of blood vessels to reduce or stop blood flow in a selected vascular territory.
- Use in interventional procedures involving abnormal vascularity, tumors, or other target tissues when vessel occlusion is clinically indicated.
Clinical Applications
- Uterine artery embolization for symptomatic uterine fibroids.
- Targeted embolization of vessels supplying tumors or other hypervascular tissue when consistent with the device labeling.
- Embolization to control abnormal blood flow in a selected vascular territory.
Reported off-label uses
- Embolization of selected bleeding vessels in situations where particulate embolization is clinically appropriate.
- Embolization of selected vascular malformations or other hypervascular lesions.
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.
Evidence Summary
Reported Outcomes
Safety Profile
Evidence Limitations
Practical Considerations
- Particle size selection depends on the target vessel diameter, vascular anatomy, desired level of occlusion, and risk of nontarget embolization.
- The microspheres are delivered through a compatible catheter under fluoroscopic or other appropriate imaging guidance; careful injection technique and continuous visualization are important.
- Contraindications and precautions include uncorrectable coagulopathy, severe vascular spasm, inability to safely catheterize the target vessel, and a high risk of reflux or nontarget embolization.
- MRI safety and conditions should be confirmed in the current manufacturer labeling because the device may remain in the body after embolization and labeling can vary by product configuration.
- Embolized particles are intended to provide durable vessel occlusion, but the clinical effect can change if vessels recanalize or collateral blood flow develops.
Frequently Asked Questions
What are the clinical indications for Contour SE Microspheres?
Contour SE Microspheres are indicated for use in embolization procedures, particularly for the treatment of uterine fibroids and other conditions requiring vascular occlusion.
What outcomes have been reported in clinical studies?
Clinical studies have reported effective symptom reduction in uterine fibroid cases, with significant decreases in uterine and fibroid volume.
What complications have been reported?
Reported complications include a 3% complication rate during hospital stays for uterine artery embolization, with limited additional safety data available.