FDA Adverse Event Injury Summary report: N

ONYX

MDR report key: 6450610 · Received March 31, 2017

Report

Report Number
2029214-2017-00333
Event Type
Injury
Date Received
March 31, 2017
Date of Event
April 6, 2012
Report Date
November 16, 2016
Manufacturer
COVIDIEN (IRVINE)
Product Code
MFE
PMA / PMN Number
P030004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS AS IT WAS MAY HAVE BEEN CONSUMED IN THE PROCEDURE. BASED ON THE REPORTED INFORMATION, THERE IS NO EVIDENCE SUGGESTING THAT THE PRODUCT WAS DEFECTIVE, BUT RATHER A PROCEDURE RELATED EVENT AND ITS CAUSED WAS UNKNOWN. ATTEMPTS HAVE BEEN MADE TO OBTAIN SPECIFIC INFORMATION, HOWEVER, OUR ATTEMPTS HAVE BEEN UNSUCCESSFUL. PER THE PRODUCTS INSTRUCTIONS FOR USE, INJECT DMSO AT A SLOW, STEADY RATE, NOT TO EXCEED 0.3 ML/MINUTE. ANIMAL STUDIES HAVE SHOWN THAT A RAPID INJECTION OF DMSO INTO THE VASCULATURE MAY LEAD TO VASOSPASM AND/OR ANGIONECROSIS. MDR RELATED TO THIS EVENT: 2029214-2017-00333 2029214-2017-00334 2029214-2017-00335 2029214-2017-00336 2029214-2017-00337 2029214-2017-00338 2029214-2017-00339 2029214-2017-00340 2029214-2017-00341BLE. 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.

Additional Manufacturer Narrative · 1

IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

CITATION: ONYX VERSUS N-BCA FOR EMBOLIZATION OF CRANIAL DURAL ARTERIOVENOUS FISTULAS. RABINOV JD1, YOO AJ, OGILVY CS, CARTER BS, HIR SCH JA. J NEUROINTERV SURG. 2013 JUL;5(4):306-10. DOI: 10.1136/NEURINTSURG-2011-010237. EPUB 2012 MAY 1. MEDTRONIC RECEIVED THE FOLLOWING REPORT: PATIENT 1 (MALE, AGE RANGE 50-59 YEARS) WAS REPORTED TO HAVE ASYSTOLIC EVENT, THIS PATIENT WAS TREATED FOR A POSTERIOR FOSSA LESION. THE AUTHOR POSTULATE THAT THIS COULD HAVE BEEN RELATED TO DIMETHYL SULFOXIDE (DMSO) ADMINISTRATION INTO THE LEFT POSTERIOR INFERIOR CEREBELLAR ARTERY SUPPLYING THE DURAL ARTERIOVENOUS FISTULAS (DAVF) IN PROXIMITY TO THE FLOOR OF THE FOURTH VENTRICLE. THE PROCEDURE WAS TERMINATED AND THE PATIENT WAS CLINICALLY ASYMPTOMATIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
233449 ONYX AGENT, INJECTABLE, EMBOLIC MFE COVIDIEN (IRVINE)

Patients

Seq Age Sex Outcome Treatment
1 Other