FDA Adverse Event Injury Summary report: N

GORE VIABAHN ENDOPROSTHESIS

MDR report key: 10479662 · Received September 1, 2020

Report

Report Number
2017233-2020-01197
Event Type
Injury
Date Received
September 1, 2020
Date of Event
September 18, 2018
Report Date
September 1, 2020
Manufacturer
W. L. GORE & ASSOCIATES, INC.
Product Code
NIP
PMA / PMN Number
P040037
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CBAS® HEPARIN SURFACE INCORPORATES CBAS-HEPARIN MANUFACTURED FROM HEPARIN SODIUM API, WHICH IS COVALENTLY BOUND TO THE DEVICE SURFACE AND IS ESSENTIALLY NON-ELUTING.

Description of Event or Problem · 1

THE FOLLOWING INFORMATION WAS REPORTED TO GORE: IN AN ARTICLE TITLED EVOLUTION FROM PHYSICIAN-MODIFIED TO COMPANY-MANUFACTURED FENESTRATED-BRANCHED ENDOGRAFTS TO TREAT PARARENAL AND THORACOABDOMINAL AORTIC ANEURYSMS IT STATES 316 CONSECUTIVE PATIENTS (242 MALE PATIENTS; MEAN AGE, 75 YEARS) UNDERWENT F-BEVAR BETWEEN 2007 AND 2016. F-BEVAR WAS PERFORMED UNDER TWO PROSPECTIVE INVESTIGATIONAL DEVICE EXEMPTION PROTOCOLS SINCE 2013. END POINTS WERE MORTALITY, MAJOR ADVERSE EVENTS (MAES), PATIENT SURVIVAL, REINTERVENTION, BRANCH INSTABILITY, ANEURYSM-RELATED MORTALITY, RENAL FUNCTION DETERIORATION, AND TARGET VESSEL PATENCY. GORE® VIABAHN® ENDOPROSTHESES WERE UTILIZED IN THE RENAL ARTERIES. TARGET VESSEL PATENCY INCLUDED THE FOLLOWING INFORMATION: PRIMARY AND SECONDARY TARGET VESSEL PATENCY IN THE PMEG AND CMD GROUPS FOR RENAL ARTERIES WAS (97% ± 1% AND 99% ± 0.4% VS 95% ± 2% AND 98% ± 1%). FOR VESSELS TARGETED BY FENESTRATIONS VS DIRECTIONAL BRANCHES, THERE WAS NO DIFFERENCE IN 1- AND 3-YEAR PRIMARY PATENCY (96% ± 1% AND 93% ± 1% VS 96% ± 2% AND 96% ± 2%; P = .7) AND SECONDARY PATENCY (99% ±.4% AND 98% ± 1% VS 97%±2% AND 97%±2%;P = .32), RESPECTIVELY. FOR RENAL ARTERY TARGETS, PRIMARY PATENCY WAS 96% ± 1% AND 92% ± 2% FOR FENESTRATIONS VS 87% ± 6% AND 87% ± 6% FOR DIRECTIONAL BRANCHES AT THE SAME INTERVALS (P = .13). SECONDARY PATENCY WAS HIGHER FOR FENESTRATIONS (99% ± 1% AND 97% ± 1%) THAN FOR DIRECTIONAL BRANCHES (92% ± 5% AND 92% ± 5%) AT THE SAME INTERVALS, RESPECTIVELY (P = .015). LITERATURE CITATION: ODERICH GS, RIBEIRO MS, SANDRI GA, ET AL. EVOLUTION FROM PHYSICIAN-MODIFIED TO COMPANY-MANUFACTURED FENESTRATED-BRANCHED ENDOGRAFTS TO TREAT PARARENAL AND THORACOABDOMINAL AORTIC ANEURYSMS. JOURNAL OF VASCULAR SURGERY 2019;70(1):31-42.E7.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
943283 GORE VIABAHN ENDOPROSTHESIS STENT, SUPERFICIAL FEMORAL ARTERY NIP W. L. GORE & ASSOCIATES, INC.

Patients

Seq Age Sex Outcome Treatment
1 75 YR Other| R