FDA Adverse Event Injury Summary report: N

ENDURANT STENT GRAFT

MDR report key: 10598776 · Received September 29, 2020

Report

Report Number
9612164-2020-03668
Event Type
Injury
Date Received
September 29, 2020
Date of Event
December 18, 2019
Report Date
September 29, 2020
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM A JOURNAL ARTICLE ENTITLED; ANEURYSM SAC THROMBUS VOLUME PREDICTS ANEURYSM EXPANSION WITH TYPE II ENDOLEAK AFTER ENDOVASCULAR ANEURYSM REPAIR FUJII T, BANNO H, KODAMA A, SUGIMOTO M, AKITA N, TSURUOKA T, SAKAKIBARA M, KOMORI K. ANNALS OF VASCULAR SURGERY 2020; 66: 85E94 HTTPS://DOI.ORG/10.1016/J.AVSG.2019.11.045. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ENDURANT <(>&<)> TALENT STENT GRAFTS AND NON MDT STENT GRAFTS WERE IMPLANTED IN THE ENDOVASCULAR TREATMENT OF ABDOMINAL AORTIC ANEURYSMS. THE FOLLOWING MALFUNCTIONS WERE OBSERVED; TYPE IA ENDOLEAK, TYPE IB ENDOLEAK, TYPE II ENDOLEAK, TYPE III ENDOLEAK, MIGRATION, ACCESS PROBLEMS THE FOLLOWING ADVERSE EVENTS WERE OBSERVED; SAC EXPANSION, RUPTURE, RE -INTERVENTION A PATIENT DEATH WAS REPORTED BUT THERE IS NO CAUSAL LINK THAT A MDT STENT GRAFT CAUSED OR CONTRIBUTED TO THE DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1064152 ENDURANT STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 77 YR Required Intervention