FDA Adverse Event Injury Summary report: N

ENDURANT II

MDR report key: 4003154 · Received August 12, 2014

Report

Report Number
2953200-2014-01576
Event Type
Injury
Date Received
August 12, 2014
Date of Event
July 18, 2014
Report Date
July 18, 2014
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

A ENDURANT II STENT GRAFT SYSTEM WAS IMPLANTED FOR THE ENDOVASCULAR TREATMENT OF A 6 CM ABDOMINAL AORTIC ANEURYSM. THE DIAMETER OF THE NECK WAS 23 MM, WITH A LENGTH OF 17 MM AND AN ANGULATION OF 45 DEGREES. ACCESS VESSEL TORTUOSITY AND CALCIFICATION WERE REPORTED TO BE MILD. IT WAS REPORTED THAT THE PHYSICIAN ATTEMPTED TO IMPLANT THE STENT GRAFT. THE GRAFT WAS INTENTIONALLY LANDED APPROXIMATELY 5 MM BELOW THE ORIGINALLY INTENDED POSITION, AS THE PHYSICIAN FELT THE NECK WAS LONG ENOUGH TO DO SO. THIS RESULTED IN A TYPE I ENDOLEAK. THE PHYSICIAN IMPLANTED A CUFF AT THE LEVEL OF THE LOWEST RENAL ARTERY. AFTER BALLOONING, A FINAL ANGIOGRAM WAS PERFORMED, AND THE LEAK WAS RESOLVED. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
478778 ENDURANT II SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND V04252948

Patients

Seq Age Sex Outcome Treatment
1 00073 YR Required Intervention