FDA Adverse Event Injury Summary report: N

ONYX

MDR report key: 4893053 · Received July 6, 2015

Report

Report Number
2029214-2015-00743
Event Type
Injury
Date Received
July 6, 2015
Date of Event
December 30, 2014
Report Date
June 8, 2015
Manufacturer
COVIDIEN (IRVINE)
Product Code
MFE
PMA / PMN Number
P030004
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

HTTP://WWW.NCBI.NLM.NIH.GOV/PUBMED/25547081. THE ONYX WAS NOT RETURNED FOR ANALYSIS AS IT WAS CONSUMED IN THE EVENT; THEREFORE THE COMPLAINT COULD NOT BE CONFIRMED, AND THE EVENT CAUSE COULD NOT BE DETERMINED. BASED ON THE REPORTED INFORMATION, THERE IS NO EVIDENCE SUGGESTING THAT THE ONYX WAS DEFECTIVE, BUT RATHER A PROCEDURE RELATED EVENT. THE LOT HISTORY RECORD REVIEW WAS NOT POSSIBLE SINCE THE LOT NUMBER WAS NOT REPORTED. REFERENCE: (B)(4).

Description of Event or Problem · 1

CITATION: S. AMELI-RENANI, ET AL. EMBOLISATION OF A PROXIMAL TYPE I ENDOLEAK POST-NELLIX AORTIC ANEURYSM REPAIR COMPLICATED BY REFLUX OF ONYX INTO THE NELLIX ENDOGRAFT LIMB. CARDIOVASC INTERVENT RADIOL (2015)38:747-751. DOI 10.1007/S00270-014-1044-5 THE FOLLOWING REPORT WAS RECEIVED BY MEDTRONIC (COVIDIEN) THROUGH REVIEW OF LITERATURE: THE ARTICLE DESCRIBED A TYPE 1 ENDOLEAK POST NELLIX ANEURYSM REPAIR IN A PATIENT. THE AUTHORS STATED THAT DURING THE INITIAL TREATMENT WITH ONYX, THEY OBSERVED A SMALL LINE OF ONYX MATERIAL DUE TO REFLUX; THE NELLIX LIMB WAS PATENT AND NO INTERVENTION WAS NECESSARY. HOWEVER, 6 WEEKS POST PROCEDURE, THERE WAS A SIGNIFICANT STENOSIS (75%) IN THE LEFT NELLIX LIMB CAUSED BY ONYX. THE ONYX MIGRATED AND SETTLED IN THE STENT IN A DEPENDENT FASHION. SUBSEQUENTLY, THE PATIENT WAS TREATED WITH A STENT TO AFFIX THE ONYX BETWEEN THE STENT AND THE WALL OF THE NELLIX ENDOGRAFT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
435431 ONYX AGENT, INJECTABLE, EMBOLIC MFE COVIDIEN (IRVINE)

Patients

Seq Age Sex Outcome Treatment
1 82 YR Other| R