FDA Adverse Event Death Summary report: N

ONYX

MDR report key: 12816127 · Received November 15, 2021

Report

Report Number
2029214-2021-01473
Event Type
Death
Date Received
November 15, 2021
Date of Event
April 10, 2020
Report Date
November 15, 2021
Manufacturer
MICRO THERAPEUTICS, INC. DBA EV3
Product Code
MFE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

WINKLER, E. A., LU, A., MORSHED, R. A., YUE, J. K., RUTLEDGE, W. C., BURKHARDT, J.-K., PATEL, A. B., AMMANUEL, S. G., BRAUNSTEIN, S., FOX, C. K., FULLERTON, H. J., KIM, H., COOKE, D., HETTS, S. W., LAWTON, M. T., ABLA, A. A., <(>&<)>AMP; GUPTA, N. (2020). BRINGING HIGH-GRADE ARTERIOVENOUS MALFORMATIONS UNDER CONTROL: CLINICAL OUTCOMES FOLLOWING MULTIMODALITY TREATMENT IN CHILDREN. JOURNAL OF NEUROSURGERY: PEDIATRICS, 26(1), 82¿91. HTTPS://DOI.ORG/10.3171/2020.1.PEDS19487. THIS VALUE IS THE AVERAGE AGE OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. THIS VALUE REFLECTS THE GENDER OF THE MAJORITY OF THE PATIENTS REPORTED IN THE ARTICLE AS SPECIFIC PATIENTS COULD NOT BE IDENTIFIED. PLEASE NOTE THAT THIS DATE IS BASED OFF OF THE DATE OF PUBLICATION OF THE ARTICLE AS THE EVENT DATES WERE NOT PROVIDED IN THE PUBLISHED LITERATURE. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

WINKLER, E. A., LU, A., MORSHED, R. A., YUE, J. K., RUTLEDGE, W. C., BURKHARDT, J.-K., PATEL, A. B., AMMANUEL, S. G., BRAUNSTEIN, S., FOX, C. K., FULLERTON, H. J., KIM, H., COOKE, D., HETTS, S. W., LAWTON, M. T., ABLA, A. A., <(>&<)>AMP; GUPTA, N. (2020). BRINGING HIGH-GRADE ARTERIOVENOUS MALFORMATIONS UNDER CONTROL: CLINICAL OUTCOMES FOLLOWING MULTIMODALITY TREATMENT IN CHILDREN. JOURNAL OF NEUROSURGERY: PEDIATRICS, 26(1), 82¿91. HTTPS://DOI.ORG/10.3171/2020.1.PEDS19487 SUMMARY: BRAIN ARTERIOVENOUS MALFORMATIONS (AVMS) ARE DYSPLASTIC, FRAGILE CLUSTERS OF BLOOD VESSELS FORMED BY ABNORMAL CONNECTIONS BETWEEN ARTERIES AND VEINS LEADING TO VASCULAR SHUNTING, WHICH CAN CAUSE SPONTANEOUS INTRACEREBRAL HEMORRHAGES. AVMS ARE THE LEADING CAUSE OF NONTRAUMATIC INTRACEREBRAL HEMORRHAGE IN CHILDREN AND ACCOUNT FOR 30%¿50% OF ALL SPONTANEOUS HEMORRHAGES.1¿3 BRAIN HEMORRHAGE IS ASSOCIATED WITH A MORTALITY RATE OF 25%,4 AND RECENT STUDIES IN CHILDREN HAVE ESTIMATED THE ANNUAL HEMORRHAGE RATE TO RANGE BETWEEN 0.9% AND 6.3%.1,3 WHEN DIAGNOSED IN CHILDHOOD OR ADOLESCENCE, THE ANNUALIZED HEMORRHAGE RISK OVER A GREATER NUMBER OF EXPECTED YEARS TO LIVE IN COMPARISON WITH ADULTS LEADS TO A HIGH CUMULATIVE LIFETIME HEMORRHAGE RISK. INTERVENTION TO ACHIEVE AVM OBLITERATION IS THEREFORE OFTEN FAVORED TO MITIGATE THE POTENTIAL MORBIDITY OF FUTURE HEMORRHAGE. IDENTIFIED EVENTS: 1. 1 PATIENT DIED DUE TO A DELAYED REHEMORRHAGE WITH A RUPTURED SM GRADE IV AVM IN THE MOTOR STRIP TREATED WITH 2 SESSIONS OF SRS. SEE ATTACHED LITERATURE ARTICLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1711782 ONYX AGENT, INJECTABLE, EMBOLIC MFE MICRO THERAPEUTICS, INC. DBA EV3 UNK-NV-ONYX UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 12 YR Male Death| R