FDA Adverse Event Injury Summary report: N

STENT - VASCULAR RECONSTRUCTION

MDR report key: 13014222 · Received December 15, 2021

Report

Report Number
3008114965-2021-00679
Event Type
Injury
Date Received
December 15, 2021
Date of Event
July 17, 2017
Report Date
December 15, 2021
Manufacturer
MEDOS INTERNATIONAL SARL
Product Code
NJE
PMA / PMN Number
H60001
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4). THIS COMPLAINT IS FROM A LITERATURE SOURCE. THE CITATION IS AS FOLLOWS: ZHANG Y, HUANG QH, FANG Y, YANG P, XU Y, HONG B, LIU J. A NOVEL FLOW DIVERTER (TUBRIDGE) FOR THE TREATMENT OF RECURRENT ANEURYSMS: A SINGLE-CENTER EXPERIENCE. KOREAN J RADIOL. 2017 SEP-OCT;18(5):852-859. DOI: 10.3348/KJR.2017.18.5.852. EPUB 2017 JUL 17. PMID: 28860903; PMCID: PMC5552469. THE PRODUCT CATALOG AND LOT NUMBERS ARE NOT AVAILABLE / NOT REPORTED. THE UNIQUE IDENTIFIER (UDI) AND EXPIRATION DATE OF THE DEVICE IS NOT KNOWN. (B)(6).: THE DEVICE MANUFACTURE DATE IS NOT KNOWN AS THE DEVICE LOT NUMBER IS NOT AVAILABLE / NOT REPORTED. DUE TO THE NATURE OF THE COMPLAINT, THE DEVICE (S) WERE NOT RETURNED FOR ANALYSIS NOR WAS THE STERILE LOT NUMBERS PROVIDED IN ORDER TO CONDUCT A LOT HISTORY REVIEW. AS A RESULT, WE ARE CLOSING THIS INVESTIGATION. IF THE COMPLAINT DEVICE IS RECEIVED IN THE FUTURE, WE WILL REOPEN THE COMPLAINT AND PERFORM THE INVESTIGATION AS APPROPRIATE. THERE IS NO INDICATION THAT THE ENTERPRISE STENTS MALFUNCTIONED OR THAT THE EVENTS ARE RELATED TO THE DEVICE DESIGN OR MANUFACTURING PROCESS.

Description of Event or Problem · 0

THIS COMPLAINT IS FROM A LITERATURE SOURCE. THE CITATION IS AS FOLLOWS: ZHANG Y, HUANG QH, FANG Y, YANG P, XU Y, HONG B, LIU J. A NOVEL FLOW DIVERTER (TUBRIDGE) FOR THE TREATMENT OF RECURRENT ANEURYSMS: A SINGLE-CENTER EXPERIENCE. KOREAN J RADIOL. 2017 SEP-OCT;18(5):852-859. DOI: 10.3348/KJR.2017.18.5.852. EPUB 2017 JUL 17. PMID: 28860903; PMCID: PMC5552469. OBJECTIVE AND METHODS: THIS ARTICLE REPORTS A SINGLE INSTITUTION'S INITIAL EXPERIENCE IN THE REPAIR OF ANEURYSM RECURRENCE WITH THE TUBRIDGE FLOW DIVERTER (FD). A DATABASE WAS REVIEWED PROSPECTIVELY, AND 8 PATIENTS WITH 8 RECURRENT ANEURYSMS WERE IDENTIFIED. FOUR ANEURYSMS HAD PREVIOUSLY RUPTURED. THE PREVIOUS ANEURYSM TREATMENT CONSISTED OF COILING IN 1 ANEURYSM AND SINGLE-STENT-ASSISTED COILING IN 7 ANEURYSMS. AMONG THE STENTS MOST COMMONLY USED ALONE WERE LEO (BALT) (N = 3), ENTERPRISE (N = 2), NEUROFORM (BOSTON SCIENTIFIC) (N =1), AND SOLITAIRE (EV3) (N = 1). LOT, MODEL AND CATALOG NUMBER ARE NOT AVAILABLE, BUT THE SUSPECTED CERENOVUS DEVICE POSSIBLY ASSOCIATED WITH REPORTED ADVERSE EVENTS: ENTERPRISE STENT (QUANTITY OF 2) OTHER CERENOVUS DEVICES THAT WERE ALSO USED IN THIS STUDY: N/A NON-CERENOVUS DEVICES THAT WERE ALSO USED IN THIS STUDY: LEO (BALT) (N = 3), ENTERPRISE (N = 2), NEUROFORM (BOSTON SCIENTIFIC) (N =1), AND SOLITAIRE (EV3) (N = 1), TUBRIDGE FD (MICROPORT MEDICAL COMPANY) ADVERSE EVENT(S) AND PROVIDED INTERVENTIONS: TWO PATIENTS WITH ENTERPRISE STENTS DEVELOPED ANEURYSM RECURRENCE, AND SUBSEQUENTLY UNDERWENT PLACEMENT OF THE TUBRIDGE FLOW DIVERTER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1905683 STENT - VASCULAR RECONSTRUCTION INTRACRANIAL NEUROVASCULAR STENT NJE MEDOS INTERNATIONAL SARL

Patients

Seq Age Sex Outcome Treatment
1 Unknown Required Intervention LEO (BALT)| NEUROFORM (BOSTON SCIENTIFIC)| SOLITAIRE (EV3)| TUBRIDGE FD (MICROPORT MEDICAL COMPANY)