FDA Adverse Event Death Summary report: N

HELI-FX ENDOANCHOR SYSTEM

MDR report key: 3900215 · Received June 10, 2014

Report

Report Number
3008493192-2014-00006
Event Type
Death
Date Received
June 10, 2014
Date of Event
May 15, 2014
Report Date
May 15, 2014
Manufacturer
APTUS ENDOSYSTEMS, INC
Product Code
OTD
PMA / PMN Number
K102333
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

A MEDTRONIC ENDURANT ENDOGRAFT WAS USED IN AN EMERGENT SETTING TO TREAT A RUPTURED ABDOMINAL AORTIC ANEURYSM. THE PROCEDURE WAS CONDUCTED IN AN OPERATING ROOM USING PORTABLE FLUOROSCOPY EQUIPMENT. THE ENDOGRAFT HAD A PROXIMAL DIAMETER OF 28MM AND WAS PLACED IN AN AORTIC NECK MEASURING APPROXIMATELY 23MM. APTUS ENDOANCHORS WERE USED TO SEAL AN ACUTE TYPE I ENDOLEAK OBSERVED IMMEDIATELY FOLLOWING ENDOGRAFT PLACEMENT. FOUR (4) ENDOANCHORS WERE PLACED UNEVENTFULLY AND THE ENDOLEAK WAS CONFIRMED TO HAVE BEEN RESOLVED. FOLLOWING ENDOVASCULAR DEVICE REMOVAL, THE OPERATING PHYSICIAN ATTEMPTED TO PERFORM A PATCH ANGIOPLASTY ON THE RIGHT FEMORAL ARTERY, WHICH WAS USED FOR PRIMARY DEVICE ACCESS FOR BOTH THE ENDURANT GRAFT AND HELI-FX SYSTEM. DURING THE PATCH ANGIOPLASTY PROCEDURE, THE PATIENT'S BLOOD PRESSURE DROPPED AND THE PATIENT CODED. SUSPECTING FURTHER RUPTURE, AN URGENT OPEN EXPLORATION WAS PERFORMED TO LOCATE THE SOURCE OF INTERNAL BLEEDING. NO BLEEDING WAS FOUND AT THE INITIAL ANEURYSM RUPTURE SITE OR AT THE LOCATION OF THE PROXIMAL ENDOGRAFT SEAL AND ENDOANCHORS. THE LOCATION OF THE BLEEDING WAS NOT IDENTIFIED. THE PATIENT EXPIRED ON THE OPERATING TABLE. THERE WAS NO APPARENT OR ALLEGED DEVICE MALFUNCTION WITH EITHER THE HELI-FX SYSTEM OR THE ENDOGRAFT, AND NO CAUSAL LINK ESTABLISHED BETWEEN THE USE OF THE DEVICES AND THE PATIENT'S DEATH.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343414 HELI-FX ENDOANCHOR SYSTEM ENDOVASCULAR SUTURING SYSTEM OTD APTUS ENDOSYSTEMS, INC SA-85/SG-64 48481/48231

Patients

Seq Age Sex Outcome Treatment
1 Death EMERGENT REPAIR OF RUPTURED AAA WITH| ENDURANT STENT GRAFT