FDA Adverse Event Injury Summary report: N

ONYX

MDR report key: 4519044 · Received February 16, 2015

Report

Report Number
2029214-2015-00145
Event Type
Injury
Date Received
February 16, 2015
Date of Event
March 4, 2014
Report Date
January 19, 2015
Manufacturer
COVIDIEN (IRVINE)
Product Code
MFE
PMA / PMN Number
PMA P030004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

ARTICLE WEBSITE: HTTP://WWW.SCIENCEDIRECT.COM/SCIENCE/ARTICLE/PII/S1726490114000203. THE LOT HISTORY RECORD REVIEW WAS NOT POSSIBLE SINCE THE LOT NUMBERS WERE NOT REPORTED. THE DEVICES WILL NOT BE RETURNED FOR ANALYSIS AS THEY WERE IMPLANTED IN THE PATIENT; THEREFORE, THE EVENT CAUSE COULD NOT BE DETERMINED. THERE WAS LIMITED INFORMATION ABOUT THE DEVICE AND/OR THE PATIENT, THEREFORE ALL MALFUNCTION EVENTS WERE CAPTURED IN THIS REPORT. REFERENCE: (B)(4). RELATED MDR 2029214-2015-00119 TO REPORT SERIOUS INJURY FROM THE SAME ARTICLE.

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

CITATION: LUO ET AL. TRANSARTERIAL ONYX EMBOLIZATION OF INTRACRANIAL DURAL ARTERIOVENOUS FISTULAS: A SINGLE CENTER EXPERIENCE. JOURNAL OF THE CHINESE MEDICINE ASSOCIATION. 77(2014)184-189. COVIDIEN RECEIVED INFORMATION THROUGH LITERATURE REVIEW THAT FOUR PATIENTS EXPERIENCED PARTIAL EMBOLIZATION IN A STUDY OF TRANSARTERIAL EMBOLIZATION OF INTRACRANIAL DURAL ARTERIOVENOUS FISTULAS (DAVFS). THE STUDY INVOLVED 14 PATIENTS (MEAN AGE 62, 9 MALES, MEAN CLINICAL FOLLOW-UP WAS 16 MONTHS) TREATED BETWEEN 2009 AND 2012. PARTIAL EMBOLIZATION OCCURRED IN 4 PATIENTS. OF THE FOUR PARTIAL EMBOLIZATIONS, TWO WERE TYPE IIA+B, AND AFTER EMBOLIZATION ONE WAS REGRADED TO TYPE IIA. ANOTHER ONE WAS REGRADED TO TYPE IA; AN ADDITIONAL TWO PATIENTS UNDERWENT RADIOSURGERY (GAMMA KNIFE) AND ONE WAS CURED BY THE 24-MONTH FOLLOW-UP, WHEREAS ONE PATIENT WAS STILL WAITING FOR THE EFFECT OF RADIOSURGERY. NO SIGNIFICANT PERIPROCEDURAL COMPLICATION WAS FOUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
111957 ONYX AGENT, INJECTABLE, EMBOLIC MFE COVIDIEN (IRVINE)

Patients

Seq Age Sex Outcome Treatment
1 62 YR Required Intervention