FDA Adverse Event Injury Summary report: N

ENDURANT II

MDR report key: 4202965 · Received October 27, 2014

Report

Report Number
2953200-2014-02193
Event Type
Injury
Date Received
October 27, 2014
Date of Event
October 1, 2014
Report Date
March 2, 2015
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

AN ENDURANT II STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF A 5 CM IN DIAMETER ABDOMINAL AORTIC ANEURYSM. IT WAS REPORTED THAT THE PHYSICIAN DEPLOYED THE BIFURCATE IN A SHORT RENAL TO DISTAL AORTA LENGTH AORTA. THE CONTRALATERAL GATE "JAILED OFF" IN THE RIGHT ILIAC ARTERY AND WOULDN'T OPEN. CANNULATION AND SNARE ATTEMPTS WERE UNSUCCESSFUL.. THE PATIENT WAS CONVERTED TO AN AUI AND A FEM-FEM BY-PASS WAS COMPLETED. THE PATIENT DID WELL. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED. THE PHYSICIAN STATED THAT THE EVENT WAS DEVICE AND PROCEDURE RELATED.

Description of Event or Problem · 1

THE LENGTH OF THE LOWEST RENAL TO THE DISTAL AORTA WAS ~75 MM AND THE CONTRALATERAL GATE DEPLOYS AT 74 MM. WHEN THE PHYSICIAN DEPLOYED DOWN TO THE GATE, THE GATE REMAINED CONSTRAINED BECAUSE IT DIDN¿T HAVE ENOUGH ROOM IN THE AORTA TO DEPLOY. BECAUSE THE GATE DIDN¿T DEPLOY, THE PHYSICIAN WAS NOT ABLE TO PASS A WIRE THRU AND THUS, HAD TO USE AN AUI DEVICE AND A FEM-FEM BYPASS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
682655 ENDURANT II SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND V05894366

Patients

Seq Age Sex Outcome Treatment
1 00082 YR Required Intervention