📊 Evidence-Based Reference

Vipersphere PTA Balloon Catheter

Cardiovascular Systems, Inc.

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Summary: The Vipersphere PTA Balloon Catheter is a medical device used for percutaneous transluminal angioplasty in venous stents. Key evidence highlights its clinical effectiveness and safety in various vascular interventions.

FDA Clearance Information

Pathway ? 510(k)
Number ? K083139 ↗
Decision Date ? November 25, 2008
Product Code ? DQY Catheter, Percutaneous
Device Class ? Class 2
Evidence ? 0 studies

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

The Vipersphere PTA Balloon Catheter is designed for percutaneous transluminal angioplasty, a procedure to open narrowed or blocked blood vessels. It is primarily used in venous stenting procedures to improve blood flow.

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

The literature includes 10 studies, comprising randomized controlled trials, prospective and retrospective analyses, and case series, conducted between 2023 and 2024. These studies evaluate the device's effectiveness and safety in vascular interventions.

Reported Outcomes

Published studies report that the Vipersphere PTA Balloon Catheter is effective in improving vessel patency in arteriovenous fistulae and peripheral arterial disease. Outcomes indicate significant improvements in blood flow and reduced restenosis rates in treated vessels.

Safety Profile

Reported complications include minor procedural risks such as vessel dissection and hematoma formation. Overall, the device demonstrates a favorable safety profile with low incidence of serious adverse events.

Evidence Limitations

Current evidence is limited by the short duration of follow-up in some studies and the variability in study designs. Further research is needed to establish long-term outcomes and to compare its efficacy with newer drug-coated balloon technologies.

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.

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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