FDA Adverse Event Injury Summary report: N

ENDURANT STENT GRAFT

MDR report key: 10239388 · Received July 7, 2020

Report

Report Number
9612164-2020-02458
Event Type
Injury
Date Received
July 7, 2020
Date of Event
December 30, 2019
Report Date
August 25, 2020
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TW
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION RECEIVED; IT WAS REPORTED AS PER THE PHYSICIAN THAT NONE OF THE ADVERSE EVENTS WERE RELATED TO THE MEDTRONIC DEVICES MEDTRONIC IS SUBMITTING THIS REPORT TO COMPLY WITH FDA REPORTING REGULATIONS UNDER 21 CFR PARTS 4 AND 803. THIS REPORT IS BASED UPON INFORMATION OBTAINED BY MEDTRONIC, WHICH THE COMPANY MAY NOT HAVE BEEN ABLE TO FULLY INVESTIGATE OR VERIFY PRIOR TO THE DATE THE REPORT WAS REQUIRED BY THE FDA. MEDTRONIC HAS MADE REASONABLE EFFORTS TO OBTAIN MORE COMPLETE INFORMATION AND HAS PROVIDED AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. IN PARTICULAR, THIS REPORT DOES NOT CONSTITUTE AN ADMISSION BY ANYONE THAT THE PRODUCT DESCRIBED IN THIS REPORT HAS ANY ¿DEFECTS¿ OR HAS ¿MALFUNCTIONED¿. THESE WORDS ARE INCLUDED IN THE FDA 3500A FORM AND ARE FIXED ITEMS FOR SELECTION CREATED BY THE FDA TO CATEGORIZE THE TYPE OF EVENT SOLELY FOR THE PURPOSE OF REGULATORY REPORTING. MEDTRONIC OBJECTS TO THE USE OF THESE WORDS AND OTHERS LIKE THEM BECAUSE OF THE LACK OF DEFINITION AND THE CONNOTATIONS IMPLIED BY THESE TERMS. THIS STATEMENT SHOULD BE INCLUDED WITH ANY INFORMATION OR REPORT DISCLOSED TO THE PUBLIC UNDER THE FREEDOM OF INFORMATION ACT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM A JOURNAL ARTICLE ENTITLED: RESPONSE FINDINGS AFTER TREATMENT AND OUTCOMES ON CT AFTER ENDOVASCULAR REPAIR OF MYCOTIC AORTIC ANEURYSM. LIN S Y, LIU K S, CHU S Y, CHEN C M, YU S Y, SU I H, KO P J, SU T W. JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY 2020; 31:969¿976 HTTPS://DOI.ORG/10.1016/J.JVIR.2019.12.803. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ENDURANT STENT GRAFTS AND NON MDT STENT GRAFTS WERE IMPLANTED IN THE ENDOVASCULAR TREATMENT OF MYCOTIC AORTIC ANEURYSMS. ALL PATIENTS WERE TREATED WITH A COURSE OF ANTIBIOTICS PRIOR AND POST THE EVAR PROCEDURES. THE FOLLOWING ADVERSE EVENTS WERE REPORTED: AORTITIS, STENT GRAFT INFECTION, PNEUMONIA & SEPSIS. PATIENT DEATHS WERE ALSO REPORTED BUT THERE WAS NO CAUSAL LINK THAT THE ENDURANT DEVICES CAUSED OR CONTRIBUTED TO THESE DEATHS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
705537 ENDURANT STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 69 YR Required Intervention