FDA Adverse Event Injury Summary report: N

STENT - VASCULAR RECONSTRUCTION

MDR report key: 12566101 · Received October 1, 2021

Report

Report Number
1226348-2021-00067
Event Type
Injury
Date Received
October 1, 2021
Date of Event
June 3, 2021
Report Date
September 6, 2021
Manufacturer
MEDOS INTERNATIONAL SARL
Product Code
NJE
PMA / PMN Number
H60001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

(B)(4). LITERATURE ARTICLE: ¿THE FORMATION MECHANISM OF ACUTE DISSECTION OF BLOOD BLISTER-LIKE ANEURYSM AND ITS IMPLICATION OF ENDOVASCULAR TREATMENT¿ YE Z, LV X. CHIN NEUROSURG J. 2021 JUN 3;7(1):32. DOI: 10.1186/S41016-021-00245-1. PMID: 34078466; PMCID: PMC8173849. DEVICE HISTORY RECORD (DHR) REVIEW CANNOT BE CONDUCTED BECAUSE THE LOT NUMBER WAS PROVIDED BY THE CUSTOMER. IF INFORMATION IS OBTAINED THAT WAS NOT AVAILABLE FOR THE INITIAL REPORT, A FOLLOW-UP REPORT WILL BE FILED AS APPROPRIATE.

Description of Event or Problem · 0

LITERATURE ARTICLE: ¿THE FORMATION MECHANISM OF ACUTE DISSECTION OF BLOOD BLISTER-LIKE ANEURYSM AND ITS IMPLICATION OF ENDOVASCULAR TREATMENT¿ YE Z, LV X. CHIN NEUROSURG J. 2021 JUN 3;7(1):32. DOI: 10.1186/S41016-021-00245-1. PMID: 34078466; PMCID: PMC8173849. OBJECTIVE AND METHODS: FROM DECEMBER 2016 TO DECEMBER 2018, 8 PATIENTS PRESENTING WITH SUBARACHNOID HEMORRHAGE DUE TO BBLA WERE SUBJECTED TO ENDOVASCULAR TREATMENT WITH STENT-ASSISTED COILING. CLINICAL OUTCOMES WERE EVALUATED USING A CLINICAL OUTCOME SCORE SCALE. LOT, MODEL AND CATALOG NUMBER ARE NOT AVAILABLE, BUT THE SUSPECTED CERENOVUS DEVICE POSSIBLY ASSOCIATED WITH REPORTED ADVERSE EVENTS: CLOSED-CELL STENT ENTERPRISE, CODMAN OTHER CERENOVUS DEVICES THAT WERE ALSO USED IN THIS STUDY: 6-FR GUIDING CATHETER ENVOY, CODMAN 8-FR GUIDING CATHETER ENVOY, CORDIS NON-CERENOVUS DEVICES THAT WERE ALSO USED IN THIS STUDY: MICROCATHETER ECHELON 10, MEDTRONIC PIPELINE FLOW-DIVERTING STENT, MEDTRONIC 6-FR INTERMEDIATE CATHETER NAVIEN, MEDTRONIC MICROCATHETER MARKSMAN, MEDTRONIC ADVERSE EVENT(S) AND PROVIDED INTERVENTIONS: (B)(6) MALE WITH ENTERPRISE STENT EXPERIENCED POSTOPERATIVE REGROWTH AND RE-BLEEDING. TREATMENT OR INTERVENTION NOT DESCRIBED WITHIN THE ARTICLE. FOLLOW-UP ANGIOGRAPHY CONDUCTED 3 TO 8 MONTHS SUCCESSIVE TO PROCEDURE DEMONSTRATED COMPLETE ANEURYSMAL OBLITERATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1461853 STENT - VASCULAR RECONSTRUCTION INTRACRANIAL NEUROVASCULAR STENT NJE MEDOS INTERNATIONAL SARL

Patients

Seq Age Sex Outcome Treatment
1 Life Threatening 6-FR GUIDING CATHETER ENVOY, CODMAN| 6-FR INTERMEDIATE CATHETER NAVIEN, MEDTRONIC| 8-FR GUIDING CATHETER ENVOY, CORDIS| MICROCATHETER ECHELON 10, MEDTRONIC| MICROCATHETER MARKSMAN, MEDTRONIC| PIPELINE FLOW-DIVERTING STENT, MEDTRONIC