FDA Adverse Event Injury Summary report: N

ONYX

MDR report key: 6521286 · Received April 25, 2017

Report

Report Number
2029214-2017-00573
Event Type
Injury
Date Received
April 25, 2017
Report Date
March 28, 2017
Manufacturer
MICRO THERAPEUTICS, INC. DBA EV3 NEUROVA
Product Code
MFE
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE EMBOLIC MATERIAL WAS NOT RETURNED FOR ANALYSIS. ATTEMPTS WERE MADE TO GATHER SPECIFIC INFORMATION, HOWEVER, OUR ATTEMPTS WERE UNSUCCESSFUL. BASED ON THE REPORTED INFORMATION, THERE IS NO ALLEGATION THAT A MALFUNCTION OR DEFICIENCY OF THE EMBOLIC MATERIAL OCCURRED DURING THE PROCEDURE. THERE IS NO EVIDENCE SUGGESTING THAT THE MATERIAL WAS DEFECTIVE, BUT RATHER A PROCEDURE AND PATIENT CONDITION RELATED EVENT.

Additional Manufacturer Narrative · 1

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

Description of Event or Problem · 1

CITATION: "TRIGEMINOCARDIAC REFLEX IN EMBOLIZATION OF INTRACRANIAL DURAL ARTERIOVENOUS FISTULA" AMERICAN JOURNAL OF NEURORADIOLOGY OCTOBER 2007, 28 (9) 1769-1770; DOI: HTTPS://DOI.ORG/10.3174/AJNR.A0675. MEDTRONIC RECEIVED REPORT OF IMMEDIATE REPRODUCIBLE AND REFLEXIVE RESPONSE OF ASYSTOLE UPON STIMULATION OF ONYX INJECTION DURING EMBOLIZATION OF A TENTORIAL DURAL ARTERIOVENOUS FISTULA IN A (B)(6) MAN. UPON RECOGNITION OF THE REFLEXIVE RELATIONSHIP BETWEEN ONYX INJECTION AND INCREASED VAGAL TONE, THE PATIENT WAS GIVEN ANTICHOLINERGIC IN AN EFFORT TO BLOCK CHOLINERGIC HYPERACTIVITY. AFTER ATROPINE WAS GIVEN, NO FURTHER DYSRHYTHMIAS OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
299937 ONYX AGENT, INJECTABLE, EMBOLIC MFE MICRO THERAPEUTICS, INC. DBA EV3 NEUROVA

Patients

Seq Age Sex Outcome Treatment
1 53 YR Required Intervention