FDA Adverse Event Injury Summary report: N

GORE VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE

MDR report key: 10458325 · Received August 27, 2020

Report

Report Number
2017233-2020-01184
Event Type
Injury
Date Received
August 27, 2020
Date of Event
June 11, 2019
Report Date
January 6, 2021
Manufacturer
W. L. GORE & ASSOCIATES, INC.
Product Code
NIP
PMA / PMN Number
P040037
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - THE ITEM NUMBER AND LOT NUMBER OF THE DEVICE COULD NOT BE PROVIDED, SO NO MANUFACTURING EVALUATION COULD NOT BE PERFORMED. (B)(4) -THE DEVICE REMAINS IMPLANTED. THEREFORE, DIRECT PRODUCT ANALYSIS WAS NOT POSSIBLE.

Description of Event or Problem · 1

THE FOLLOWING PUBLICATION WAS REVIEWED: " A SINGLE CENTER EXPERIENCE OF IN SITU NEEDLE FENESTRATION OF SUPRA-AORTIC BRANCHES DURING THORACIC ENDOVASCULAR AORTIC REPAIR" RECEIVED THROUGH "ANN VASC SURG 2019; 61: 107¿115" . THE AUTHORS: YILANG XIANG, CHENYANG QIU, YANGYAN HE, DONGLIN LI, TAO SHANG, ZIHENG WU, AND HONGKUN ZHANG. THE ARTICLE AIMED TO REPORT THE EARLY RESULTS AND TECHNICAL DETAILS OF IN SITU NEEDLE FENESTRATION DURING THORACIC ENDOVASCULAR AORTIC REPAIR (TEVAR). THIRTY-SEVEN PATIENTS WITH THORACIC AORTIC DISEASE WHO UNDERWENT TEVAR WITH IN SITU NEEDLE FENESTRATION IN OUR DEPARTMENT BETWEEN FEBRUARY 2016 AND APRIL 2017 WERE INCLUDED IN THIS STUDY. THEIR DEMOGRAPHIC INFORMATION, CLINICAL MANIFESTATIONS, PERIPROCEDURAL OUTCOMES, AND FOLLOW-UP RESULTS WERE ANALYZED. THUS, THE BALLOON WAS DEPLOYED, AND VIABAHN STENTS (W.L. GORE ASSOCIATES, INC, FLAGSTAFF, AZ) WERE IMPLANTED. GIVEN THAT EXPANDABLE BALLOON-COVERED STENTS WERE UNAVAILABLE IN OUR CENTER, WE USED SELF EXPANDING VIABAHN STENTS AND A MUSTANG BALLOON (BOSTON SCIENTIFIC, JAPAN) FOR POSTDILATION. REPORTED RESULTS STATED IN ONE CASE, THE BRANCH STENT GRAFT STUCK IN THE BRACHIAL ARTERY AND WAS SURGICALLY REMOVED. THE PHYSICIANS ONCE ADVANCED A STENT GRAFT THROUGH A SHORT SHEATH. AS A RESULT, THE STENT GRAFT BECAME STUCK IN THE PATIENT¿S BRACHIAL ARTERY, AND AN EXTENDED INCISION OF THE ARTERY WAS PERFORMED TO REMOVE THE STENT GRAFT. A LONG SHEATH WAS THEN REINSERTED TO DELIVER THE STENT TO THE CORRECT PLACE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
923511 GORE VIABAHN ENDOPROSTHESIS WITH HEPARIN BIOACTIVE SURFACE STENT, SUPERFICIAL FEMORAL ARTERY NIP W. L. GORE & ASSOCIATES, INC.

Patients

Seq Age Sex Outcome Treatment
1 55 YR Required Intervention