FDA Adverse Event Injury Summary report: N

ENDURANT II

MDR report key: 3900537 · Received June 27, 2014

Report

Report Number
2953200-2014-01304
Event Type
Injury
Date Received
June 27, 2014
Date of Event
June 2, 2014
Report Date
June 2, 2014
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

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 7 YEARS POST-INDEX PROCEDURE, AN ANEURX 242440 CUFF WAS IMPLANTED TO RESOLVE A PROXIMAL TYPE I ENDOLEAK. IT WAS REPORTED THAT FOLLOW-UP IMAGING DONE APPROXIMATELY SIX YEARS LATER REVEALED A STENT GRAFT MIGRATION WITH A PROXIMAL TYPE I ENDOLEAK. THE BIFURCATED STENT GRAFT WAS ALSO FOUND TO BE KINKED. A REVIEW OF THE RETURNED FILMS 13 YEARS POST-INDEX PROCEDURE SHOWS A KINK IN THE BIFURCATED STENT GRAFT, AS WELL AS A MIGRATION OF THE ANEURX CUFF. THERE IS A PROXIMAL TYPE I ENDOLEAK. THE PROXIMAL NECK IS ANGULATED AND SHORT. BOTH LIMBS ARE STILL PATENT. THE CAUSE OF THE MIGRATION AND KINK IS LIKELY DUE TO CONTINUED DISEASE PROGRESSION; NECK DILATATION AND ANGULATED NECK. A SECONDARY INTERVENTION WAS SUBSEQUENTLY PERFORMED. THREE ENDURANT CUFFS WERE IMPLANTED, BUT THE ENDOLEAK DID NOT RESOLVE. THE PATIENT HAS DECLINED FURTHER INTERVENTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
377670 ENDURANT II SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND V04649747

Patients

Seq Age Sex Outcome Treatment
1 00072 YR Required Intervention