FDA Adverse Event Malfunction Summary report: N

FLUENCY PLUS ENDOVASCULAR STENT GRAFT

MDR report key: 6022175 · Received October 12, 2016

Report

Report Number
9681442-2016-00266
Event Type
Malfunction
Date Received
October 12, 2016
Date of Event
September 13, 2016
Report Date
September 18, 2016
Manufacturer
ANGIOMED GMBH & CO. MEDIZINTECHNIK KG
Product Code
PFV
UDI-DI
04049519008608
PMA / PMN Number
P130029
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEVICE HISTORY RECORDS ARE BEING REVIEWED. THE EVENT IS CURRENTLY UNDER INVESTIGATION.

Additional Manufacturer Narrative · 1

THE LOT HISTORY RECORDS HAVE BEEN REVIEWED WITH SPECIAL ATTENTION TO THE MANUFACTURING AND INSPECTION OF THIS PRODUCT AND THE PRODUCT WAS FOUND TO HAVE MET ALL SPECIFICATIONS PRIOR TO SHIPMENT. BASED ON THE CONDITION OF THE RETURNED SAMPLE, THE REPORTED EVENT WAS CONFIRMED. THE STENT GRAFT WAS FOUND TO BE PARTIALLY DEPLOYED UPON SAMPLE RECEIPT; THE OUTER SHEATH OF THE DELIVERY SYSTEM WAS FOUND TO BE FRACTURED. THE CONDITION OF THE SAMPLE, IN PARTICULAR ELONGATION AND FRACTURE OF THE OUTER SHEATH INDICATES THAT HIGH FRICTION FORCES OCCURRED DURING THE ATTEMPT TO DEPLOY THE STENT GRAFT. BASED ON SAMPLE EVALUATION NO INDICATION WAS FOUND THAT A MANUFACTURING RELATED ISSUE MAY HAVE CAUSED THIS EVENT. PREVIOUS INVESTIGATIONS OF SIMILAR COMPLAINTS HAVE BEEN REVIEWED. THE REPORTED TYPE OF EVENT MAY BE ASSOCIATED WITH A DIFFICULT PATIENT ANATOMY OR A CHALLENGING PLACEMENT SITE. USAGE OF INADEQUATE ACCESSORIES OR INSUFFICIENT FLUSHING OF THE DEVICE PRIOR TO USE MAY BE CONTRIBUTING FACTORS. ON THE BASIS OF THE AVAILABLE INFORMATION AND THE EVALUATION OF THE RETURNED SAMPLE, A DEFINITE ROOT CAUSE FOR THE REPORTED EVENT COULD NOT BE IDENTIFIED. THE IFU STATES: "IF UNUSUAL RESISTANCE OR HIGH DEPLOYMENT FORCE IS ENCOUNTERED DURING STENT GRAFT DEPLOYMENT, ABORT THE PROCEDURE, REMOVE THE DELIVERY SYSTEM AND USE AN ALTERNATIVE DEVICE." REGARDING PREPARATION OF THE DEVICE THE IFU STATES: "PRIOR TO LOADING THE ENDOVASCULAR SYSTEM OVER A GUIDE WIRE, BOTH PORTS MUST BE FLUSHED WITH STERILE SALINE (...). FLUSHING THESE LUMENS WILL ALSO FACILITATE STENT GRAFT DEPLOYMENT." REGARDING THE ANATOMY OF THE PLACEMENT SITE THE IFU STATES: ¿THE SAFETY AND EFFECTIVENESS OF THE DEVICE WHEN PLACED ACROSS A TIGHT BEND (...) HAS NOT BEEN EVALUATED. PRIOR TO STENT GRAFT DEPLOYMENT, ENSURE THAT THE PROXIMAL (INFLOW) STENT GRAFT END IS POSITIONED IN A STRAIGHT SECTION OF THE LUMEN TO REDUCE THE RISK OF HIGHER DEPLOYMENT FORCES AND POSSIBLE ENDOVASCULAR SYSTEM FAILURE.¿ REGARDING USE OF ACCESSORIES THE IFU STATES: "MATERIAL REQUIRED FOR THE FLUENCY PLUS ENDOVASCULAR STENT GRAFT PROCEDURE (...) INTRODUCER SHEATH WITH APPROPRIATE INNER DIAMETER."

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SHEATHLESS STENT GRAFT PLACEMENT PROCEDURE FOR TREATMENT OF A PRE-DILATED LEFT SUBCLAVIAN VEIN STENOSIS (THE PATIENT HAD A LEFT UPPER ARM GRAFT), THE ENDOVASCULAR STENT GRAFT COULD NOT BE DEPLOYED. REPORTEDLY, RESISTANCE WAS FELT WHEN TRYING TO RELEASE THE STENT GRAFT. THE DEVICE WAS REMOVED AND ANOTHER STENT GRAFT OF THE SAME BRAND WAS USED TO COMPLETE THE PROCEDURE SUCCESSFULLY. THERE WAS NO REPORTED PATIENT INJURY.

Description of Event or Problem · 1

IT WAS REPORTED THAT DURING A SHEATHLESS STENT GRAFT PLACEMENT PROCEDURE FOR TREATMENT OF A PRE-DILATED LEFT SUBCLAVIAN VEIN STENOSIS (THE PATIENT HAD A LEFT UPPER ARM GRAFT), THE ENDOVASCULAR STENT GRAFT COULD NOT BE DEPLOYED. REPORTEDLY, RESISTANCE WAS FELT WHEN TRYING TO RELEASE THE STENT GRAFT. THE DEVICE WAS REMOVED AND ANOTHER STENT GRAFT OF THE SAME BRAND WAS USED TO COMPLETE THE PROCEDURE SUCCESSFULLY. THERE WAS NO REPORTED PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
673009 FLUENCY PLUS ENDOVASCULAR STENT GRAFT ENDOVASCULAR STENT GRAFT PFV ANGIOMED GMBH & CO. MEDIZINTECHNIK KG ANAR4165 04049519008608

Patients

Seq Age Sex Outcome Treatment
1 54 YR