PTA and Ptv
FDA Clearance Information
The PTA and PTV devices by Numed were cleared through the FDA 510(k) pathway on September 13, 2002. They are classified as Class 2 medical devices under product code DQY.
What It Is
FDA-Cleared Indications
- Percutaneous catheter use in the diagnosis or treatment of blood-vessel disease.
- Use during image-guided vascular interventions when percutaneous catheter access or delivery is required.
Clinical Applications
- Catheter-based vascular procedures performed through percutaneous access.
- Image-guided evaluation or treatment of peripheral blood vessels.
- Catheter delivery during interventional radiology or vascular procedures, when compatible with the specific device configuration.
Reported off-label uses
- Use in venous interventions such as iliac or central-vein procedures may occur in clinical practice, but the available FDA record does not provide enough labeling detail to confirm a specific venous indication for PTA and PTV.
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
- The available record does not identify the device's full size range, working length, balloon or catheter configuration, or required guidewire and introducer compatibility; these details should be confirmed in the current manufacturer instructions for use.
- Use requires fluoroscopic or other appropriate imaging guidance and trained vascular-intervention personnel.
- Contraindications, vessel-size requirements, contrast compatibility, and handling instructions should be taken from the device-specific labeling.
- MRI safety cannot be determined from the available FDA summary. Confirm the current labeling before MRI, including whether the device is MR Safe, MR Conditional, or not evaluated for MRI.
- Potential procedural risks include bleeding or hematoma at the access site, vessel injury, thrombosis, embolization, infection, contrast reaction, and failure to achieve the intended result.
Procedures that use this device
Frequently Asked Questions
What are the clinical indications for PTA and PTV?
PTA and PTV are indicated for use in patients requiring venous stenting, particularly those with chronic venous insufficiency or post-thrombotic syndrome.
What outcomes have been reported in clinical studies?
Studies have reported improved venous flow, enhanced vessel patency, and symptom relief in patients treated with PTA and PTV.
What complications have been reported?
Reported complications include device migration, thrombosis, and local site reactions.