FDA Adverse Event Injury Summary report: N

ENDURANT STENT GRAFT

MDR report key: 13225357 · Received January 11, 2022

Report

Report Number
9612164-2022-00150
Event Type
Injury
Date Received
January 11, 2022
Date of Event
August 30, 2021
Report Date
January 11, 2022
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION OBTAINED FROM THE JOURNAL ARTICLE ENTITLED; APPLICATION OF THE ANGIOJET ULTRA THROMBECTOMY DEVICE FOR THE PERCUTANEOUS MECHANICAL TREATMENT (PMT) OF ILIAC LIMB OCCLUSION AFTER ENDOVASCULAR ANEURYSM REPAIR (EVAR) XIAOFENG HAN, GUANGRUI LIU, TIEZHENG LI, AND XI GUO, ANN VASC SURG 2022; 78: 161¿169. HTTPS://DOI.ORG/10.1016/J.AVSG.2021.06.016. EXACT DATE OF IMPLANT UNKNOWN. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 0

ENDURANT STENT GRAFTS WERE IMPLANTED IN PATIENTS DURING THE ENDOVASCULAR TREATMENT OF INFRARENAL ABDOMINAL AORTIC ANEURYSMS ON UNKNOWN DATES. THE FOLLOWING ADVERSE EVENTS WERE REPORTED: STENT ANGULATION/STENT THROMBOSIS, ILIAC LIMB OCCLUSION, REINTERVENTION/THROMBECTOMY, INTERMITTENT CLAUDICATION/BUTTOCK CLAUDICATION, GROSS HEMATURIA AND RENAL DYSFUNCTION POST INTERVENTION. THE CAUSE OF THE ADVERSE EVENTS ARE UNDETERMINED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1224193 ENDURANT STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TR MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 63 YR Male Required Intervention