FDA Adverse Event Injury Summary report: N

ENDURANT ABDOMINAL STENT GRAFT SYSTEM

MDR report key: 2230416 · Received August 15, 2011

Report

Report Number
2953200-2011-01440
Event Type
Injury
Date Received
August 15, 2011
Date of Event
July 22, 2011
Report Date
July 22, 2011
Manufacturer
MEDTRONIC CARDIOVASCULAR GALWAY
Product Code
MIH
PMA / PMN Number
P100021
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). RESULTS OF EVALUATION: OCCLUSION, RUPTURE/PERFORATION. CALCIFIED VESSELS. CLOSURE DEVICE. CONCLUSION: CALCIFIED VESSELS. USE OF A CLOSURE DEVICE.

Description of Event or Problem · 1

AN ENDURANT ABDOMINAL STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM APPROXIMATELY 1.5 MONTHS AGO VIA PERCUTANEOUS ACCESS. IT WAS REPORTED THAT THE PATIENT RETURNED WITH AN OCCLUSION OF THE FEMORAL ARTERY, WHERE THE VESSEL HAD BEEN CLOSED, AND THERE WAS NO BLOOD FLOW DOWN TO THE LEG. THE OCCLUSION MAY HAVE BEEN DUE TO THE CLOSURE DEVICE FROM ANOTHER MANUFACTURER, AS THE VESSEL MIGHT HAVE BEEN CLOSED TOO TIGHTLY. THE PHYSICIAN ELECTED TO INTERVENE BY USING A BALLOON FROM ANOTHER MANUFACTURER TO BALLOON THE FEMORAL ARTERY, DURING THE BALLOONING, THE FEMORAL ARTERY RUPTURED, WHICH THE PHYSICIAN ELECTED TO REPAIR WITH A STENT. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED, AND THE PATIENT IS FINE. AN INTERNAL REVIEW OF RETURNED PRE-IMPLANT FILMS SHOWED CALCIFIED VESSELS. THE VESSEL RUPTURE AND OCCLUSION EVENTS COULD NOT BE EVALUATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ENDURANT ABDOMINAL STENT GRAFT SYSTEM MIH MEDTRONIC CARDIOVASCULAR GALWAY NA V00889249

Patients

Seq Age Sex Outcome Treatment
1 65 YR Required Intervention