FDA Adverse Event Malfunction Summary report: N

PIPELINE

MDR report key: 6436912 · Received March 27, 2017

Report

Report Number
2029214-2017-00226
Event Type
Malfunction
Date Received
March 27, 2017
Date of Event
January 9, 2017
Report Date
March 3, 2017
Manufacturer
MICRO THERAPEUTICS, INC. DBA EV3 NEUROVA
Product Code
OUT
PMA / PMN Number
P100018.S004
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MD, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

CITATION: ENDOVASCULAR FLOW DIVERSION FOR TREATMENT OF ANTERIOR COMMUNICATING ARTERY REGION CEREBRAL ANEURYSMS: A SINGLE-CENTER COHORT OF 50 CASES. GEOFFREY P COLBY,1 MATTHEW T BENDER,1 LI-MEI LIN,2 NARLIN BEATY ET. AL. THE DEVICES WERE NOT RETURNED FOR ANALYSIS; THEREFORE, NO DEFINITIVE CONCLUSION CAN BE DRAWN REGARDING THE CLINICAL OBSERVATION. MDR RELATED TO THIS EVENT: 2029214-2017-00226 2029214-2017-00227. A GOOD FAITH EFFORT WILL BE MADE TO OBTAIN THE APPLICABLE INFORMATION RELEVANT TO THE REPORT. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

MEDTRONIC RECEIVED INFORMATION THROUGH THE LITERATURE REVIEW THAT THE PIPELINE DEVICE DID NOT OPEN. IT WAS REPORTED THAT ONE CASE WAS ABORTED DUE TO THE PIPELINE NOT OPENING WHILE USING THE GUIDE CATHETER AND MICROCATHETER COMBINATION. IT WAS REPORTED THAT THERE WAS SIGNIFICANT PROXIMAL VESSEL TORTUOSITY. THIS CASE WAS SUCCESSFULLY COMPLETED AT LATER TIME. SINGLE CENTER STUDY OF 50 CASES. THE AVERAGE AGE WAS 56 YEARS AND 46% OF THE PATIENTS WERE FEMALE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
219299 PIPELINE INTRACRANIAL ANEURYSM FLOW DIVERTER OUT MICRO THERAPEUTICS, INC. DBA EV3 NEUROVA NV UNK PIPELINE NOT REPORTED

Patients

Seq Age Sex Outcome Treatment
1