FDA Adverse Event Injury Summary report: N

ENDURANT

MDR report key: 3830416 · Received May 23, 2014

Report

Report Number
2953200-2014-01064
Event Type
Injury
Date Received
May 23, 2014
Date of Event
April 30, 2014
Report Date
June 9, 2014
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

AN ENDURANT STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. IT WAS REPORTED THAT THE PATIENT EXPERIENCED A CEREBRAL INFARCTION AT THE HOSPITAL. THE PHYSICIAN STATED THAT THE CEREBRAL INFARCTION WAS NOT SERIOUS AND THERE WAS NO RELATIONSHIP TO THE DEVICE. NO CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS BEING MONITORED BY THE PHYSICIAN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
307160 ENDURANT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND

Patients

Seq Age Sex Outcome Treatment
1