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 |