Vipersphere PTA Balloon Catheter
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FDA Clearance Information
The Vipersphere PTA Balloon Catheter was cleared by the FDA through the 510(k) pathway on November 25, 2008. It is manufactured by Cardiovascular Systems and classified as a Class 2 device.
What It Is
FDA-Cleared Indications
- Percutaneous transluminal angioplasty of stenotic lesions in peripheral vasculature.
- Dilation of stenoses within vascular stents when balloon angioplasty is clinically indicated.
Clinical Applications
- Balloon angioplasty of narrowed peripheral veins or arteries.
- Treatment of stenosis within a peripheral vascular stent.
- Endovascular dilation performed over a guidewire under fluoroscopic imaging.
Reported off-label uses
- Treatment of stenosis in hemodialysis arteriovenous fistulas or grafts when the specific catheter labeling does not include dialysis-access use.
- Angioplasty of selected central venous or iliac venous stenoses outside the device's specific labeled indications.
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 balloon size and length must match the target vessel and lesion; use only sizes listed in the current manufacturer instructions for use.
- The catheter must be compatible with the guidewire, introducer sheath, and vascular access system used for the procedure.
- The procedure is performed with fluoroscopic guidance, usually through percutaneous femoral or another suitable vascular access site.
- Potential complications include vessel dissection, perforation, thrombosis, embolization, bleeding, infection, and balloon rupture.
- MRI safety and conditional-use requirements depend on the complete device system and current labeling; confirm the manufacturer’s MRI information before scanning.
Procedures that use this device
Frequently Asked Questions
What are the clinical indications for Vipersphere PTA Balloon Catheter?
The device is indicated for use in percutaneous transluminal angioplasty procedures, particularly in venous stenting and treatment of arteriovenous fistula stenosis.
What outcomes have been reported in clinical studies?
Clinical studies have reported improved vessel patency and reduced restenosis rates, indicating effective restoration of blood flow in treated vessels.
What complications have been reported?
Safety data from studies indicate minor complications such as vessel dissection and hematoma, with a low incidence of serious adverse events.