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Greenfield Vena Cava Filter W 19 5 Fr Introducer

Boston Scientific Corporation

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Summary: The Greenfield Vena Cava Filter is a medical device used to prevent pulmonary embolism by trapping blood clots in the inferior vena cava. It is typically used by interventional radiologists and vascular surgeons.

FDA Clearance Information

Pathway ? 510(k)
Number ? K901235 ↗
Decision Date ? October 9, 1990
Product Code ? DTK Filter, Intravascular, Cardiovascular
Device Class ? Class 2
Evidence ? 22 studies

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

The Greenfield Vena Cava Filter is an implantable device designed to prevent pulmonary embolism by capturing blood clots that travel from the lower extremities to the lungs. It is inserted into the inferior vena cava via a catheter through a small incision, usually in the groin or neck. The filter's design allows it to trap clots while maintaining blood flow, reducing the risk of embolism.

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

The linked study examined the management of deep vein thrombosis in pregnant patients, comparing conventional heparin therapy with the use of a Greenfield filter in cases of iliofemoral DVT. The study found that the filter was a useful adjunct in preventing pulmonary embolism in this high-risk population. However, the study was limited by its small sample size and retrospective design.

Procedures that use this device

Linked Studies (20)

PubMed • 2020

Greenfield stainless steel vena cava filters on computed tomography follow-up.

Journal of vascular surgery. Venous and lymphatic disorders

Other View Source →
PubMed • 2006

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 →
PubMed • 2004

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 →
PubMed • 1999

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 →
PubMed • 1998

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 →
PubMed • 1998

Suprarenal filter placement.

Journal of vascular surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 1997

Evaluation of a new percutaneous stainless steel Greenfield filter.

Journal of vascular and interventional radiology : JVIR

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 1996

Successful retrieval of a titanium Greenfield vena cava filter embedded within its introducer sheath.

Journal of vascular and interventional radiology : JVIR

View Source →
PubMed • 1996

Caval interruption methods: comparison of options.

Seminars in vascular surgery

View Source →
PubMed • 1995

The new titanium Greenfield vena cava filter: initial experience and review.

Singapore medical journal

Case Series View Source →
PubMed • 1995

[Partial interruption of the inferior vena cava using a Greenfield titanium percutaneous filter. Present indications and evaluation].

Journal des maladies vasculaires

Prospective View Source →
PubMed • 1994

Management of deep vein thrombosis of the lower extremity in pregnancy.

The West Virginia medical journal

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 1993

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 →
PubMed • 1992

LGM vena cava filter: objective evaluation of early results.

Journal of vascular and interventional radiology : JVIR

View Source →
PubMed • 1990

Perforation of the inferior vena cava by a suprarenal Greenfield filter.

Radiology

View Source →
PubMed • 1990

Percutaneous inferior vena caval filters.

Radiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 1989

Comparison of titanium and stainless steel, Greenfield vena caval filters.

Surgery

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 1987

Percutaneous transfemoral placement of the Kimray-Greenfield vena cava filter.

Radiology

View Source →
PubMed • 1987

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 →
PubMed • 1986

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.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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