Stainless Steel Greenfield Vena Cava Filter with 12f Introducer System
FDA Clearance Information
The stainless steel Greenfield vena cava filter was cleared by the FDA via the 510(k) pathway on January 6, 1997. It is manufactured by Boston Scientific and classified as a Class 2 medical device.
What It Is
FDA-Cleared Indications
- Prevention of pulmonary embolism by trapping emboli in the inferior vena cava.
- Use in patients at risk for pulmonary embolism who have contraindications to anticoagulant therapy.
Clinical Applications
- Placement in the inferior vena cava for pulmonary embolism protection when anticoagulation cannot be used.
- Use in selected patients with venous thromboembolism who cannot receive anticoagulant therapy.
- Percutaneous IVC filter placement using the supplied 12 French introducer system.
Reported off-label uses
- Use when anticoagulation is considered ineffective or poorly tolerated, depending on the patient's clinical circumstances.
- Prophylactic placement in selected patients considered at unusually high risk for pulmonary embolism but without documented venous thromboembolism.
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 device is delivered through a 12 French introducer system; access is commonly obtained through the jugular or femoral vein under fluoroscopic guidance.
- The stainless steel filter is a permanent filter design and is not generally treated as a routine retrievable filter; removal may be difficult or require advanced techniques.
- Deployment requires accurate positioning in the inferior vena cava and assessment of venous anatomy, including renal vein location and caval diameter.
- Potential complications include filter tilt, migration, fracture, perforation, caval thrombosis, access-site bleeding, and recurrent or new venous thromboembolism.
- MRI safety and conditions should be confirmed from the device-specific labeling and institutional MRI policy before scanning; the implant's stainless steel composition does not by itself establish unrestricted MRI safety.
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 are the clinical indications for the stainless steel Greenfield vena cava filter?
The filter is indicated for patients at risk of pulmonary embolism who cannot undergo anticoagulation therapy.
What outcomes have been reported in clinical studies?
Studies report effective embolus capture and reduced risk of pulmonary embolism, with some mechanical stability issues noted.
What complications have been reported?
Reported complications include filter tilt, asymmetry, and insertion challenges.