FDA Adverse Event Injury Summary report: N

ENDURANT II ILIAC STENT GRAFT

MDR report key: 10578702 · Received September 24, 2020

Report

Report Number
9612164-2020-03579
Event Type
Injury
Date Received
September 24, 2020
Date of Event
February 18, 2020
Report Date
September 24, 2020
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PO
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM A JOURNAL ARTICLE ENTITLED; CLINICAL ASPECTS AND PRESENT CHALLENGES OF THE SEAT BELT AORTA GOUVEIA E MELO R, AMORIM P, RAMOS SOARES T, FERNANDES E FERNANDES R, MINISTRO A, GARRIDO P, FERNANDES E FERNANDES J, <(>&<)> MENDES PEDRO L. JOURNAL OF VASCULAR SURGERY 2020;72 (3) PP. 995-1004. HTTPS://DOI.ORG/10.1016/J.JVS.2019.11.038. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

A (B)(6) YEAR OLD MALE SUFFERED A BLUNT TRAUMATIC AORTIC DISSECTION LOCATED BELOW THE RENAL ARTERIES TO THE AORTIC BIFURCATION OF THE AORTA. THE DISSECTION CONTAINED A LARGE INTIMAL FLAP WITH NO AORTIC CONTOUR ABNORMALITY. AN ENDURANT II 16 X 82MM ILIAC LIMB WAS IMPLANTED AS TREATMENT WITH NO REPORTED ISSUE. AT 12 MONTH FOLLOW-UP, THE PATIENT HAD DEVELOPED RE-STENOSIS AT THE DISTAL END OF THE STENT. HOWEVER, THE PATIENT WAS ASYMPTOMATIC AND REFUSED FURTHER INTERVENTION; THEREFORE, CONSERVATIVE MANAGEMENT WAS ADOPTED. NO ADDITIONAL CLINICAL SEQUALAE WERE PROVIDED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1045845 ENDURANT II ILIAC STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND ETLW1610C82EE

Patients

Seq Age Sex Outcome Treatment
1 27 YR Other