FDA Adverse Event Death Summary report: N

ONYX

MDR report key: 6457917 · Received April 4, 2017

Report

Report Number
2029214-2017-00359
Event Type
Death
Date Received
April 4, 2017
Date of Event
July 31, 2006
Report Date
March 13, 2017
Manufacturer
COVIDIEN (IRVINE)
Product Code
MFE
PMA / PMN Number
P030004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NL
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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

CITATION: BRAIN AVM EMBOLIZATION WITH ONYX. W.J.VAN ROOIJ, M. SLUZEWSKI, G. N. BEUTE ET. AL. PATIENT AGE; ADDITIONAL INFORMATION: SEX . THIS A SUPPLEMENT REPORT. THIS ONYX WAS PREVIOUSLY REPORTED IN 2029214-2008-00257. PLEASE REFERENCE MDR 2029214-2008-00257. MDR'S RELATED TO THIS ARTICLE: 2029214-2008-00257, 2029214-2017-00359, 2029214-2017-00360, 2029214-2017-00361, 2029214-2017-00362, 2029214-2017-00363, 2029214-2017-00364, 2029214-2017-00365, 2029214-2017-00366, 2029214-2017-00367 AND 2029214-2017-00368. 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 DURING LITERATURE REVIEW THAT AFTER POST ONYX EMBOLIZATION CT SCAN SHOWED A LARGE HEMATOMA ADJACENT TO THE AVM. A RUPTURED WAS CAUSED BY MICROCATHETER OR GUIDEWIRE AT THE BEGINNING OF THE PROCEDURE. THE PATIENT DETERIORATED RAPIDLY AND DIED 5 HOURS LATER. IT WAS REPORTED THAT PATIENT WITH A 4.5 CM RIGHT FRONTOPARIETAL AVM (SPETZKER AND MARTIN GRADE III) BETWEEN (B)(6) 2000 AND (B)(6) 2005, 44 PATIENT WITH BRAIN AVMS WERE EMBOLIZED WITH ONYX. THERE WERE 18 WOMEN AND 26 MEN WITH A MEAN AGE OF 42.4 YEARS (MEDIAN 44, RANGE 14-71 YEARS).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
238332 ONYX AGENT, INJECTABLE, EMBOLIC MFE COVIDIEN (IRVINE) UNK-NV-ONYX

Patients

Seq Age Sex Outcome Treatment
1 51 YR Death