FDA Adverse Event Injury Summary report: N

WEB

MDR report key: 14253130 · Received April 29, 2022

Report

Report Number
2032493-2022-00179
Event Type
Injury
Date Received
April 29, 2022
Report Date
April 20, 2022
Manufacturer
MICROVENTION, INC
Product Code
OPR
PMA / PMN Number
P170032
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE LOT NUMBERS WERE NOT PROVIDED; THEREFORE, THE DEVICE HISTORY RECORDS COULD NOT BE REVIEWED AND A LOT HISTORY TRENDING REVIEW COULD NOT BE PERFORMED. THE DEVICE WAS NOT RETURNED TO THE MANUFACTURER FOR ANALYSIS; THEREFORE, THE ALLEGED PRODUCT ISSUE CANNOT BE CONFIRMED. IF THE DEVICE OR ADDITIONAL INFORMATION IS RECEIVED, MICROVENTION, INC., WILL SUBMIT A SUPPLEMENTAL MDR REPORT. ARTICLE BIBLIOGRAPH: CORTESE, JONATHAN, ET AL. "DETERMINANTS OF CEREBRAL ANEURYSM OCCLUSION AFTER EMBOLIZATION WITH THE WEB DEVICE: A SINGLE-INSTITUTION SERIES OF 215 CASES WITH ANGIOGRAPHIC FOLLOW-UP." JOURNAL OF NEUROINTERVENTIONAL SURGERY (2022).

Description of Event or Problem · 0

AS REPORTED THROUGH THE JOURNAL ARTICLE TITLED, DETERMINANTS OF CEREBRAL ANEURYSM OCCLUSION AFTER EMBOLIZATION WITH THE WEB DEVICE: A SINGLE-INSTITUTION SERIES OF 215 CASES WITH ANGIOGRAPHIC FOLLOW-UP" 70 PATIENTS WITH RUPTURED AND UNRUPTURED ANEURYSMS WERE TREATED WITH A WEB DEVICE (WEB-SL QTY 32, WEB-DL QTY 4, WEB-SLS QTY 8, FIFTH-GENERATION WEB QTY 26) BETWEEN JULY 2012 AND OCTOBER 2021. ALL PATIENTS WERE OBSERVED TO HAVE DEVELOPED ANEURYSM REMNANTS DURING THE ANGIOGRAPHIC FOLLOW-UP PERIOD (3-97 MONTHS), OF WHICH 20 REQUIRED RETREATMENT BECAUSE OF THE RECURRENCE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
109670 WEB INTRASACCULAR FLOW DISRUPTION DEVICE OPR MICROVENTION, INC UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other| R