FDA Adverse Event Injury Summary report: N

ENDURANT

MDR report key: 4103007 · Received September 19, 2014

Report

Report Number
2953200-2014-01873
Event Type
Injury
Date Received
September 19, 2014
Date of Event
August 26, 2014
Report Date
August 26, 2014
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4). EVALUATION, CONCLUSION: ANGULATION OF THE AORTIC NECK GREATER 60 DEGREE.

Description of Event or Problem · 1

AN ENDURANT II STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF A 7.2 CM IN DIAMETER ABDOMINAL AORTIC ANEURYSM. VESSEL MORPHOLOGY WAS REPORTED THAT THE AORTA AT RENAL ARTERY IS 24 MM IN DIAMETER. THE LENGTH OF PROXIMAL AORTIC NECK IS 19.5 MM, THE AORTIC NECK ANGULATION IS 62.6 DEGREE, THERE IS MODERATE TORTUOSITY, AND MODERATE CALCIFICATION. THE BIFURCATED STENT GRAFT WAS IMPLANTED HOWEVER, THE ANGIOGRAM REVEALED THAT IT WAS IMPLANTED A FEW MM LOWER THAN INTENDED. THE CAUSE OF THE INACCURATE IMPLANTATION OF THE STENT GRAFT IS RELATED TO THE AORTIC NECK ANGULATION. THE PHYSICIAN ELECTED TO IMPLANT AN ENDURANT 32X32X49 AORTIC CUFF AND THE PROXIMAL TYPE I ENDOLEAK WAS RESOLVED. NO CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
582503 ENDURANT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND V04658355

Patients

Seq Age Sex Outcome Treatment
1 00071 YR Required Intervention