ONYX
Report
- Report Number
- 2029214-2017-00818
- Event Type
- Death
- Date Received
- June 21, 2017
- Report Date
- May 24, 2017
- Manufacturer
- COVIDIEN (IRVINE)
- Product Code
- MFE
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- PHYSICIAN
Narratives
THE EMBOLIC MATERIAL WAS NOT RETURNED AS IT WAS CONSUMED IN THE PROCEDURE. IT IS POSSIBLE THAT THE HEMODYNAMIC CHANGES INDUCED BY THE EMBOLIZATION MAY HAVE CONTRIBUTED TO THE REPORTED EVENTS. THERE IS NO ALLEGATION THAT THE EMBOLIC MATERIAL WAS DEFECTIVE OR THAT A MALFUNCTION OCCURRED DURING ITS USE. BASED ON THIS INFORMATION, IT IS UNKNOWN WHAT CAUSED THE HEMORRHAGE THAT LEAD TO THE DEATH. THERE IS NO EVIDENCE SUGGESTING THAT THE ONYX WAS DEFECTIVE, BUT RATHER THE ADVERSE EVENT THAT WAS LIKELY CAUSED BY THE PROCEDURE, THE ANATOMICAL LOCATION THAT WAS BEING EMBOLIZED AND THE PATIENT¿S UNDERLYING MEDICAL CONDITION. LINKED EVENT: 2029214-2017-00816, 2029214-2017-00817.
CITATION: ¿PARENT ARTERY OCCLUSION WITH ONYX FOR DISTAL ANEURYSMS OF POSTERIOR INFERIOR CEREBELLAR ARTERY: A SINGLE-CENTRE EXPERIENCE IN A SERIES OF 15 PATIENTS¿ QI WU, HAN-DONG WANG, QING-RONG ZHANG, XIN ZHANG. MEDTRONIC RECEIVED REPORT THAT 13 WOMEN AND THE MEAN AGE WAS 47 ± 8 YEARS (AGE RANGE, 37-59 YEARS). ONE PATIENT WAS REPORTED TO HAVE EXPIRED AFTER THE PROCEDURE BECAUSE OF THE HEMORRHAGE. THE INTRAOPERATIVE ANGIOGRAM DEMONSTRATING HEMORRHAGE BEFORE THE LIQUID EMBOLIC INJECTION WAS PERFORMED. POSTOPERATIVE ANGIOGRAM DEMONSTRATING THE ANEURYSM AND PARENT ARTERY OCCLUDED COMPLETELY. HEAD CT SCAN IMMEDIATELY AFTER EMBOLIZATION DEMONSTRATING SUBARACHNOID HEMORRHAGE (SAH) AND INTRAVENTRICULAR HEMORRHAGE (IVH).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 437244 | ONYX | AGENT, INJECTABLE, EMBOLIC | MFE | COVIDIEN (IRVINE) |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Death |