Greenfield Vena Cava Filter W 19 5 Fr Introducer
FDA Clearance Information
The Greenfield Vena Cava Filter was cleared by the FDA through the 510(k) pathway on October 9, 1990. It is manufactured by Boston Scientific and is classified as a Class 2 medical device.
What It Is
FDA-Cleared Indications
- Prevention of pulmonary embolism in patients with deep vein thrombosis who cannot receive anticoagulant therapy.
- Prevention of recurrent pulmonary embolism in patients whose embolism has occurred despite anticoagulant therapy.
Clinical Applications
- Placement in the inferior vena cava for pulmonary embolism prevention.
- Treatment of patients with deep vein thrombosis who have a contraindication to anticoagulation.
- Treatment of recurrent embolism despite anticoagulant therapy.
- Placement by catheter through a venous access site, such as the groin or neck.
Reported off-label uses
- Temporary pulmonary embolism protection when anticoagulation must be interrupted for selected high-risk surgery or trauma care.
- Pulmonary embolism protection in selected patients considered at exceptionally high risk despite an ability to receive anticoagulation.
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 record identifies compatibility with a 19.5 French introducer, which requires a relatively large venous access sheath compared with many newer IVC filters.
- Placement requires imaging guidance and assessment of IVC anatomy, clot burden, and the intended deployment location.
- This device is a permanent Greenfield filter unless a specific model and labeling establish retrievability; the treating physician should confirm the exact model before planning removal.
- MRI conditions should be confirmed from the device-specific labeling and implant records before an MRI examination. Do not assume MRI safety from the product name alone.
- Potential complications include access-site bleeding, malposition, IVC or venous injury, filter migration or fracture, caval thrombosis, and recurrent or trapped emboli.
Related Literature
Procedures that use this device
Linked Studies (20)
Greenfield stainless steel vena cava filters on computed tomography follow-up.
Journal of vascular surgery. Venous and lymphatic disorders
Other View Source →Numerical analysis of the hemodynamics and embolus capture of a greenfield vena cava filter.
Journal of biomechanical engineering
RCT|prospective|retrospective|case Series|other View Source →In vivo evaluation of the effects of gravitational force (+Gz) on over-the-wire stainless steel Greenfield inferior vena cava filter in swine.
Cardiovascular and interventional radiology
View Source →Entrapment of J-tip guidewires by Venatech and stainless-steel Greenfield vena cava filters during central venous catheter placement: percutaneous management in four patients.
Cardiovascular and interventional radiology
RCT|prospective|retrospective|case Series|other View Source →IVC filter tilt and asymmetry: comparison of the over-the-wire stainless-steel and titanium Greenfield IVC filters.
Journal of vascular and interventional radiology : JVIR
RCT|prospective|retrospective|case Series|other View Source →Suprarenal filter placement.
Journal of vascular surgery
RCT|prospective|retrospective|case Series|other View Source →Evaluation of a new percutaneous stainless steel Greenfield filter.
Journal of vascular and interventional radiology : JVIR
RCT|prospective|retrospective|case Series|other View Source →Successful retrieval of a titanium Greenfield vena cava filter embedded within its introducer sheath.
Journal of vascular and interventional radiology : JVIR
View Source →Caval interruption methods: comparison of options.
Seminars in vascular surgery
View Source →The new titanium Greenfield vena cava filter: initial experience and review.
Singapore medical journal
Case Series View Source →[Partial interruption of the inferior vena cava using a Greenfield titanium percutaneous filter. Present indications and evaluation].
Journal des maladies vasculaires
Prospective View Source →Management of deep vein thrombosis of the lower extremity in pregnancy.
The West Virginia medical journal
RCT|prospective|retrospective|case Series|other View Source →New retrievable percutaneous vena cava filter: experimental in vitro and in vivo evaluation.
Cardiovascular and interventional radiology
RCT|prospective|retrospective|case Series|other View Source →LGM vena cava filter: objective evaluation of early results.
Journal of vascular and interventional radiology : JVIR
View Source →Perforation of the inferior vena cava by a suprarenal Greenfield filter.
Radiology
View Source →Percutaneous inferior vena caval filters.
Radiology
RCT|prospective|retrospective|case Series|other View Source →Comparison of titanium and stainless steel, Greenfield vena caval filters.
Surgery
RCT|prospective|retrospective|case Series|other View Source →Percutaneous transfemoral placement of the Kimray-Greenfield vena cava filter.
Radiology
View Source →Experimental comparison of percutaneous vena caval devices: titanium Greenfield filter versus bird's nest filter.
Journal of vascular surgery
RCT|prospective|retrospective|case Series|other View Source →Percutaneous Kimray-Greenfield filter placement.
AJR. American journal of roentgenology
View Source →Frequently Asked Questions
What is the Greenfield Vena Cava Filter used for?
It is used to prevent pulmonary embolism by trapping blood clots in the inferior vena cava.
What specialties typically use this device?
Interventional radiologists and vascular surgeons typically use this device.
What are the FDA-cleared indications?
It is indicated for preventing pulmonary embolism in patients with DVT who cannot take anticoagulants or have recurrent embolism despite treatment.