ECHELON
Report
- Report Number
- 2029214-2024-01622
- Event Type
- Injury
- Date Received
- September 23, 2024
- Date of Event
- October 9, 2023
- Report Date
- September 23, 2024
- Manufacturer
- MICRO THERAPEUTICS, INC. DBA EV3
- Product Code
- KRA
- PMA / PMN Number
- K093750
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
REPORTED PATIENT AGE (65 YEARS) IS REPRESENTATIVE OF THE MEAN AGE OF ALL PATIENT IN THE STUDY ARTICLE. REPORTED PATIENT SEX IS REPRESENTATIVE OF THE MAJORITY OF PATIENTS IN THE STUDY (42 MALES AND 14 FEMALES). REPORTED EVENT DATE IS THE DATE OF THE ARTICLE EARLIEST ELECTRONIC PUBLICATION. 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.
MA, L., REN, H.-C., HUANG, Y., <(>&<)> YIN, L. (2024). HYBRID SURGERY FOR REVASCULARIZATION OF CHRONIC OCCLUSION OF INTERNAL CAROTID ARTERY. THE JOURNAL OF CRANIOFACIAL SURGERY, 35(1), 168¿171. HTTPS://DOI.ORG/10.1097/SCS.0000000000009760. MEDTRONIC REVIEW OF THE LITERATURE ARTICLE FOUND A REVIEW WHICH WAS CONDUCTED TO HELP DETERMINE THE SAFETY AND EFFECTIVENESS OF HYBRID SURGERY FOR REVASCULARIZATION OF CHRONIC OCCLUSION OF THE INTERNAL CAROTID ARTERY (ICA) AND REPORTS SUCCESSFUL OPERATIONS WITH IMPROVED INTRACRANIAL BLOOD FLOW. THE HYBRID TECHNIQUE INCLUDED CONFIRMATION OF THE ICA OCCLUSION/PLAQUE, INTENTIONAL DISSECTION OF THE ICA FOR REMOVAL OF ATHEROSCLEROTIC PLAQUE, AND PLACEMENT OF ICA STENT. IT WAS NOTED THAT ECHELON-10 MICRO CATHETERS WERE USED IN THE PROCEDURES. 56 PATIENTS UNDERWENT HYBRID SURGERY FOR REVASCULARIZATION OF CHRONIC OCCLUSION OF THE ICA. THERE WAS NO DEVICE ISSUE REPORTED INTRA-OPERATIVELY IN THE LITERATURE ARTICLE. NO PATIENT MORTALITY WAS REPORTED. ALL OF THE FOLLOW-UP EXAMINATIONS SHOWED THAT THE RESPONDING VASCULAR WERE UNOBSTRUCTED AND CTP SHOWED IMPROVED INTRACRANIAL PERFUSION. ADVERSE EVENTS REPORTED IN THE ARTICLE INCLUDED: ¿ ONE PATIENT HAD FRESH INFARCTION OBSERVED ON POST-OPERATIVE BRAIN MAGNETIC RESONANCE IMAGING (MRI) WITHIN 24 HOURS OF THE INDEX PROCEDURE. HOWEVER, IT WAS NOTED THAT THE PATIENT HAD NO ASSOCIATED CLINICAL SYMPTOMS. ¿ THREE PATIENTS DEVELOPED SYMPTOMS OF IPSILATERAL NEURAL-FUNCTIONAL DEFECTS INCLUDING THE HYPOGLOSSAL NERVE, SUPERIOR LARYNGEAL NERVE, AND MANDIBULAR BRANCH OF THE FACIAL NERVE. THESE SYMPTOMS RESOLVED WITHIN TWO WEEKS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1502720 | ECHELON | CATHETER, CONTINUOUS FLUSH | KRA | MICRO THERAPEUTICS, INC. DBA EV3 | UNK-NV-ECHELON | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 65 YR | Male | Other |