FDA Adverse Event Death Summary report: N

ANEURX ABDOMINAL STENT GRAFT SYSTEM

MDR report key: 2970477 · Received February 20, 2013

Report

Report Number
2953200-2013-00301
Event Type
Death
Date Received
February 20, 2013
Date of Event
March 15, 2015
Report Date
April 8, 2015
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P990020
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4).

Additional Manufacturer Narrative · 1

(B)(4). RESULTS: INHERENT RISK OF PROCEDURE (STENT GRAFT MIGRATION); PATIENT'S CONDITION AFFECTED EFFECTIVENESS OF DEVICE (AORTIC NECK DILATATION). CONCLUSION: DEVICE FAILURE/LACK OF EFFECTIVENESS RELATED TO PATIENT CONDITION (AORTIC NECK DILATATION).

Description of Event or Problem · 1

ADDITIONAL INFORMATION WAS RECEIVED AS FOLLOWS: THERE WAS DISEASE PROGRESSION WITH AORTIC NECK DILATATION RESULTING IN THE STENT GRAFT MIGRATION AND A TYPE I ENDOLEAK. IT WAS REPORTED THAT APPROXIMATELY THREE WEEKS AGO AN ENDURANT AORTIC CUFF (B)(4) WAS IMPLANTED AND THE MIGRATION AND TYPE I ENDOLEAK WERE SUCCESSFULLY RESOLVED.

Description of Event or Problem · 1

AN ANEURX STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM APPROXIMATELY 11 YEARS AGO. ANEURYSM AND VESSEL MORPHOLOGY FROM THE TIME OF IMPLANT ARE UNKNOWN. CURRENT DIAMETER OF THE AORTIC NECK IS 32-33 MM. IT WAS REPORTED THAT THE STENT GRAFT WAS FOUND TO HAVE MIGRATED APPROXIMATELY 2 CM, WITH NO EVIDENCE OF AN ENDOLEAK. THE POSSIBLE CAUSE OF THE MIGRATION MAY BE AORTIC NECK DILATATION. THE PATIENT WILL BE MONITORED. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.

Description of Event or Problem · 1

FILMS REVIEW AND ANALYSIS: REVIEW OF SEVERAL SHORT RETURNED FILMS ON VIDEO SHOWED THAT AFTER THE ENDURANT AUI WAS IMPLANTED CONTRAST WITH BLUSH APPEARANCE WAS SEEN OUTSIDE THE AUI; NEAR THE TAPERED SECTION. AFTER IMPLANTING ANOTHER MANUFACTURER'S STENT GRAFT, THE ENDOLEAK RESOLVED. THE TYPE AND CAUSE OF THE ENDOLEAK COULD NOT BE DETERMINED FROM THE IMAGES PROVIDED. THIS MAY HAVE BEEN A TYPE IV OR TYPE III FABRIC ENDOLEAK.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED REPORTED THAT THE PATIENT PRESENTED TO THE ER WITH A RUPTURED ANEURYSM. IT WAS FOUND THAT THE ENDURANT CUFF AND ANEURX BIFURCATE HAD SEPARATED. THE ENDURANT CUFF WAS STILL IN PLACE; THE ANEURX BIFURCATE HAD SLIPPED. THE GAP BETWEEN THE CUFF AND THE BIFURCATE WAS THE CAUSE. PER THE PHYSICIAN, THE EVENT WAS RELATED TO THE DEVICE AND PROCEDURE. THE PATIENT RECEIVED TREATMENT WHERE AN ENDURANT AUI STENT GRAFT WAS USED. AFTER DEPLOYMENT, AN ENDOLEAK WAS NOTICED. IT WAS ORIGINALLY THOUGHT TO BE TYPE I ENDOLEAK, THEREFORE ANOTHER ENDURANT CUFF WAS ADDED. ANOTHER ANGIOGRAM WAS DONE AND SHOWED THAT THE ENDOLEAK PERSISTED. THE PHYSICIAN INSERTED A PIGTAIL CATHETER INTO THE STENT GRAFT, AND IT WAS DETERMINED THAT THE ENDOLEAK WAS COMING FROM THE MIDDLE OF THE ENDURANT AUI STENT GRAFT. THE PHYSICIAN STATED THAT IT WAS EITHER A TEAR OR BLUSH. THE PHYSICIAN FELT THAT IT WAS NECESSARY TO USE A CONVERTER STENT GRAFT FROM ANOTHER MANUFACTURER TO RELINE THE STENT GRAFTS, AND THE ENDOLEAK RESOLVED. THE PHYSICIAN STATED THE EVENT WAS RELATED TO THE DEVICE. THE PATIENT EXPIRED ON THE SAME DAY DUE TO COMPLICATIONS OF RUPTURED ABDOMINAL AORTIC ANEURYSM. PER THE PHYSICIAN, THE CAUSE OF ANEURX BIFURCATE MIGRATION LED TO SEPARATION BETWEEN THE ANEURX BIFURCATE AND THE ENDURANT CUFF WAS UNKNOWN; THE CAUSE OF POSSIBLE TEAR OR BLUSH WITH THE ENDURANT AUI STENT GRAFT WAS ALSO UNKNOWN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
74271 ANEURX ABDOMINAL STENT GRAFT SYSTEM SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC CARDIOVASCULAR M01F750381

Patients

Seq Age Sex Outcome Treatment
1 00080 YR Death| R