FDA Adverse Event Death Summary report: N

PIPELINE

MDR report key: 21651527 · Received March 20, 2025

Report

Report Number
2029214-2025-00721
Event Type
Death
Date Received
March 20, 2025
Date of Event
October 15, 2024
Report Date
March 20, 2025
Manufacturer
MICRO THERAPEUTICS, INC. DBA EV3
Product Code
OUT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

CONTINUATION OF D10: PRODUCT ID NV UNK PIPELINE (LOT: UNKNOWN); PRODUCT TYPE: ; IMPLANT DATE N/A; EXPLANT DATE N/A PRODUCT ID NV UNK PIPELINE (UNKNOWN); PRODUCT TYPE: ; IMPLANT DATE N/A; EXPLANT DATE N/A G2: CITATION: AUTHORS: ZHAO, Y., LU, J., LI, Z., CHEN, X., YANG, X., ZHAO, Y., WANG, S., HAO Q.. ANALYZING THE SAFETY AND EFCACY OF PIPELINE EMBOLIZATION DEVICE IN PEDIATRIC ANEURYSMS: INSIGHT FROM A MUL-TICENTER COHORT AND POOLED ANALYSIS. ACTA NEUROCHIRURGICA 166:412 2024. DOI: 10.1007/S00701-024-06306-5. 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.

Description of Event or Problem · 0

ANALYZING THE SAFETY AND EFFICACY OF PIPELINE EMBOLIZATION DEVICE IN PEDIATRIC ANEURYSMS: INSIGHT FROM A MULTICENTER COHORT AND POOLED ANALYSIS. THE TIME FRAME OF THIS STUDY WAS: PATIENTS WERE TREATED WITH PED FROM NOVEMBER 2014 TO OCTOBER 2019. LITERATURE REVIEW INCLUDED CASES FROM 2007 TO 2023. MULTIPLE MANUFACTURER¿S DEVICES WERE USED IN THE STUDY POPULATION. THE FOLLOWING MEDTRONIC DEVICES WERE USED: PIPELINE EMBOLIZATION DEVICE (PED) CLASSIC AND PED FLEX, DEPLOYED THROUGH MARKSMAN AND PHENOM 27 MICROCATHETERS. DEATHS OCCURRED IN THE STUDY POPULATION. THE CAUSES OF DEATH WERE: ACUTE IN-STENT THROMBOSIS LEADING TO ISCHEMIC STROKES (2 CASES). HEMORRHAGIC STROKES FOLLOWING ANEURYSM RUPTURES (2 CASES). (PAGE 4) AMONG PATIENT ADVERSE EVENTS INCLUDED: ISCHEMIC STROKES DUE TO ACUTE IN-STENT THROMBOSIS (2 CASES). HEMORRHAGIC STROKES FOLLOWING ANEURYSM RUPTURES (3 CASES). SYMPTOMATIC PARENT ARTERY STENOSIS (1 CASE). ASYMPTOMATIC PARENT ARTERY STENOSIS (1 CASE). MAJOR MORBIDITY (2 CASES). NO FURTHER INFORMATION WAS PROVIDED PERTAINING TO MEDTRONIC PRODUCTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1592754 PIPELINE INTRACRANIAL ANEURYSM FLOW DIVERTER OUT MICRO THERAPEUTICS, INC. DBA EV3 NV UNK PIPELINE UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Death SEE H11...