UNKNOWN SOLITAIRE
Report
- Report Number
- 2029214-2025-00086
- Event Type
- Injury
- Date Received
- January 8, 2025
- Date of Event
- January 2, 2024
- Report Date
- January 8, 2025
- Manufacturer
- MICRO THERAPEUTICS, INC. DBA EV3
- Product Code
- NRY
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
CONTINUATION OF D10: PRODUCT ID UNK-NV-SOLITAIRE (UNKNOWN); PRODUCT TYPE: ; IMPLANT DATE N/A; EXPLANT DATE N/A G2: CITATION: AUTHORS: NOGUEIRA RG, LOBSIEN D, KLISCH J, PIELENZ D, LOBSIEN E, SAUVAGEAU E, AGHAEBRAHIM N, MÖHLENBRUCH M, VOLLHERBST D, ULFERT C, BOZORGCHAMI H, CLARK W, PRIEST R, SAMANIEGO EA, ORTEGA-GUTIERREZ S, GHANNAM M. THROMBECTOMY WITH THE PRESET VS SOLITAIRE STENT RETRIEVERS AS FIRST-LINE LARGE VESSEL OCCLUSION STROKE TREATMENT A RANDOMIZED CLINICAL TRIAL. JAMA NEUROLOGY 81(2):170-178 2024. DOI:10.1001/JAMANEUROL.2023.5010 EARLIEST DATE OF PUBLICATION USED FOR DATE OF EVENT NO UNIQUE DEVICE IDENTIFIER (SERIAL/LOT) NUMBERS WERE PROVIDED; WITHOUT THIS INFORMATION IT COULD NOT BE DETERMINED WHETHER THESE OBSERVATIONS HAVE BEEN PREVIOUSLY REPORTED. WITHOUT RETURN OF THE PRODUCT NO DEFINITIVE CONCLUSION CAN BE MADE REGARDING THE CLINICAL OBSERVATIONS. 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.
LITERATURE WAS REVIEWED REGARDING: THROMBECTOMY WITH THE PRESET VS SOLITAIRE STENT RETRIEVERS AS FIRST-LINE LARGE VESSEL OCCLUSION STROKE TREATMENT. THE TIME FRAME OF THIS STUDY WAS: OCTOBER 2019 TO FEBRUARY 2022. MULTIPLE MANUFACTURER¿S DEVICES WERE USED IN THE STUDY POPULATION. THE FOLLOWING MEDTRONIC DEVICES WERE USED: SOLITAIRE STENT RETRIEVER. AMONG PATIENT ADVERSE EVENTS INCLUDED: ¿ SYMPTOMATIC INTRACRANIAL HEMORRHAGE: 2 PATIENTS IN THE SOLITAIRE GROUP. ¿ PROCEDURE-RELATED AND/OR DEVICE-RELATED SERIOUS ADVERSE EVENTS: 37 PATIENTS (22.2%) IN THE SOLITAIRE GROUP, INCLUDING 2 PERFORATION, 1 DISSECTION, 2 EMBOLIZATION TO NEW TERRITORY, 2 ACCESS SITE COMPLICATIONS, AND 1 MORTALITY. ¿ EVIDENCE OF NEW INFARCT OUTSIDE THE ORIGINAL AT-RISK TERRITORY: 4 PATIENTS (2.4%) IN THE SOLITAIRE GROUP. ¿ EVIDENCE OF CAROTID DISSECTION OR COMPLETE CERVICAL OCCLUSION: 1 PATIENT (0.6%) IN THE SOLITAIRE GROUP. ¿ ANY INTRACRANIAL HEMORRHAGE AT 24 HOURS: 65 PATIENTS (38.9%) IN THE SOLITAIRE GROUP. IT WAS NOTED THAT THERE WERE NO OBSERVED DEVICE DEFICIENCIES THAT COULD HAVE LED TO DEVICE-RELATED OR PROCEDURE-RELATED SERIOUS ADVERSE EVENTS. NO FURTHER INFORMATION WAS PROVIDED PERTAINING TO MEDTRONIC PRODUCTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1537112 | UNKNOWN SOLITAIRE | CATHETER, THROMBUS RETRIEVER | NRY | MICRO THERAPEUTICS, INC. DBA EV3 | UNK-NV-SOLITAIRE | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Female | Other | SEE H11... |