Essential Prescribing Information
Indications
The Cordis S.M.A.R.T.® Transhepatic Biliary Stent is indicated for palliation of malignant neoplasms in the biliary tree.
Contraindications
- Stenting of a perforated duct where leakage from the duct could be exacerbated by the prosthesis.
- Patients with bleeding disorders.
- Severe ascites.
Warnings
- The safety and effectiveness of this device for use in the vascular system have not been established.
- Persons with allergic reactions to nickel titanium (nitinol) may suffer an allergic response to this implant.
- Do not reuse.
- Do not use with Ethiodol* or Lipiodol* contrast media.
- Do not expose the delivery system to organic solvents (e.g. alcohol).
- The stent is not designed for repositioning or recapturing.
- Stenting across a major bile duct branch could lead to compromised future diagnostic or therapeutic procedures.
- Any secondary expansion of the biliary stent should be performed with a device indicated for biliary stent placement.
Precautions
- Device intended for use by appropriately trained physicians.
- The delivery system is not designed for use with power injection systems.
- Recrossing a partially or fully deployed stent with adjunct devices must be performed with caution.
Adverse Events
- Bile duct perforation
- Liver abscess
- Pancreatitis
- Parenchymal hemorrhage
- Sepsis/infection
- Sludge occlusion
- Stent migration
- Stent misplacement
- Stent obstruction secondary to tumor in growth through the stent
- Tumor overgrowth at the stent ends
CAUTION: Federal (USA) law restricts these devices to sale by or on the order of a physician.
See package insert for full product information.
*The third-party trademarks used herein are trademarks of their respective owners.