FDA Adverse Event Injury Summary report: N

PIPELINE FLEX EMBOLIZATION DEVICE

MDR report key: 24866139 · Received April 13, 2026

Report

Report Number
2029214-2026-00666
Event Type
Injury
Date Received
April 13, 2026
Date of Event
June 3, 2025
Report Date
April 13, 2026
Manufacturer
MICRO THERAPEUTICS, INC. DBA EV3
Product Code
OUT
PMA / PMN Number
P100018
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3. REPORTED EVENT DATE IS DATE ARTICLE WAS ORIGINALLY PUBLISHED ONLINE. SERIOUS ADVERSE EVENT NOT RESULTING IN DEATH FOR PIPELINE FLEX WITH SHIELD DEVICE WILL BE REPORTED SEPARATELY. 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

ROY, J. M., MUSMAR, B., KODURI, S., BALDARI, A., SOKOL, Z., AMARAVADI, C., KARADIMAS, S., KOZAK, O., MACKENZIE, L., SCHMIDT, R. F., GHOSH, R., TJOUMAKARIS, S. I., GOOCH, M. R., ZARZOUR, H., ROSENWASSER, R. H., & JABBOUR, P. M. (2026). FLOW DIVERSION IN PATIENTS WITH CONCURRENT ANTICOAGULATION: MULTICENTER EXPERIENCE AND SYSTEMATIC REVIEW OF LITERATURE. OPERATIVE NEUROSURGERY (HAGERSTOWN, MD.), 30(2), 242¿249. HTTPS://DOI.ORG/10.1227/ONS.0000000000001660 SERIOUS ADVERSE EVENTS REPORTED IN THE ARTICLE REGARDING PATIENTS TREATED WITH PIPELINE WHICH DID NOT RESULT IN DEATH INCLUDED: A 77-YEAR-OLD FEMALE HAD A PIPELINE FLEX IMPLANTED TO TREAT AN ICA OPHTHALMIC SEGMENT RUPTURED SACCULAR ANEURYSM THAT MEASURED 4.9 X 6.7 X 5.8MM. IT WAS NOTED THAT THE PATIENT REQUIRED RETREATMENT AND HAD A PIPELINE VANTAGE STENT IMPLANTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
186360 PIPELINE FLEX EMBOLIZATION DEVICE INTRACRANIAL ANEURYSM FLOW DIVERTER OUT MICRO THERAPEUTICS, INC. DBA EV3 NV UNK FLEX UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 77 YR Female Required Intervention