FDA Adverse Event Injury Summary report: N

ONYX

MDR report key: 19719410 · Received July 11, 2024

Report

Report Number
2029214-2024-01204
Event Type
Injury
Date Received
July 11, 2024
Date of Event
June 25, 2024
Report Date
August 29, 2024
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

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED REPORTED AN ACUTE INFARCT IN THE LEFT BASAL GANGLIA. THE PATIENT WAS RECOVERING/RESOLVING. CT OF THE BRAIN SHOWED REDUCED DIFFUSION IN THE LEFT BASAL GANGLIA CONSISTENT WITH AN ACUTE INFARCT, ACUTE LEFT THALAMOCAPSULAR ISCHEMIC STROKE. ETIOLOGY WAS EITHER CARDIOEMBOLIC IN THE SETTING OF A-FIB OFF ANTICOAGULATION VERSUS SMALL VESSEL DISEASE GIVEN LOCATION.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED REPORTED 1.3 ML OF ONYX (LOT B72130) WITH DMSO (LOT B694584 AND B702929). NO OTHER EMBOLIZATION METHODS WERE NOTED. NO INTRAARTERIAL LIDOCAINE WAS GIVEN PRIOR TO EMBOLIZATION.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED REPORTED THE PATIENT HAD TROUBLE FINDING WORDS. THE EVENT WAS NOT ASSOCIATED WITH A SEIZURE. THERE WAS NO DECLINE IN MRS. THE EVENT WAS NOT A RESULT OF A DEVICE DEFICIENCY.

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED REPORTED THAT THE PATIENT WAS ALREADY USING ANTIPLATELET AND ANTICOAGULANT IN ADMISSION BUT AFTER DIAGNOSIS OF SUBDURAL HEMATOMA (SDH) THEY HAD PLANNED TO HOLD OFF ON THE ANTIPLATELET AND ANTICOAGULANT UNTIL NEXT CT IMAGING IN JULY. THEY THEN PLANNED TO RESTART ANTIPLATELET/ANTICOAGULANT. HOWEVER, BECAUSE OF THE INFARCT THAT WAS SEEN ON CT AND MRI, THE SITE WAS DISCUSSING TO RESTART THE ANTIPLATELET NOW.

Description of Event or Problem · 0

MEDTRONIC RECEIVED A REPORT THAT AN ONYX PATIENT UNDERWENT EMBOLIZATION OF BILATERAL MIDDLE MENINGEAL ARTERIES FOR TREATMENT OF BILATERAL CHRONIC SUBDURAL HEMATOMAS. THE PATIENT WAS UNABLE TO HAVE THE RIGHT MIDDLE MENINGEAL ARTERY EMBOLIZATION DUE TO DANGEROUS ANASTOMOSIS TO THE OPHTHALMIC ARTERY, BUT THE LEFT MIDDLE MENINGEAL ARTERY WAS EMBOLIZED. ON (B)(6) 2024, THE SUBJECT WAS READMITTED TO THE HOSPITAL FOR LIGHTHEADEDNESS, DIZZINESS, DECREASED APPETITE AND GENERALIZED WEAKNESS. IMAGING SHOWED A LEFT BASAL GANGLIA INFARCTION. THE EVENT WAS NOTED AS POSSIBLY RELATED TO THE MMA EMBOLIZATION PROCEDURE. ONYX WAS NOT SUCCESSFULLY IMPLANTED IN THE RIGHT MIDDLE MENINGEAL ARTERY, BUT WAS IMPLANTED IN THE LEFT MIDDLE MENINGEAL ARTERY. THE PATIENT¿S VESSEL TORTUOSITY WAS UNKNOWN. IT WAS UNKNOWN IF THE REPORTED DEVICE AND ACCESSORY DEVICES WERE PREPARED AS INDICATED IN THE INSTRUCTION FOR USE (IFU).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2348432 ONYX AGENT, INJECTABLE, EMBOLIC MFE MICRO THERAPEUTICS, INC. DBA EV3 UNK-NV-ONYX B721380

Patients

Seq Age Sex Outcome Treatment
1 78 YR Male Hospitalization