BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT PROXIMAL BODY

    MDR report key: 7208823 · Received January 21, 2018

    Report

    Report Number
    9680654-2018-00004
    Event Type
    Injury
    Date Received
    January 21, 2018
    Date of Event
    January 16, 2018
    Report Date
    February 15, 2018
    Manufacturer
    WILLIAM A. COOK AUSTRALIA, PTY LTD
    Product Code
    MIH
    UDI-DI
    10827002325408
    PMA / PMN Number
    P020018
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE COMPLAINT DEVICE WAS NOT RETURNED FOR EVALUATION. NO IMAGING WAS PROVIDED. ADDITIONAL INFORMATION WAS PROVIDED ON THE 31 JANUARY 18 AND IT WAS CONFIRMED THAT THE PHYSICIAN DOES NOT THINK THAT A NON-CONFORMANCE OR DEFICIENCY WITH THE DEVICE CONTRIBUTED TO THE DIFFICULTY TO CANNULATE THE RIGHT RENAL ARTERY. THE PHYSICIAN STATED THAT THE DIFFICULTY WAS BECAUSE OF PATIENT¿S TORTUOUS ANATOMY OF THE AORTIC NECK. THE PHYSICIAN ALSO STATED THAT PATIENT'S ANATOMY WAS TORTUOUS INCLUDING THE ILIACS. WILLIAM COOK (B)(4) MEDICAL DIRECTOR, REVIEWED THE CASE AND STATED THAT: "THIS CASE IS AN UNFORTUNATE SEQUENCE OF EVENTS THAT RESULTED IN THE INABILITY TO DEPLOY THE DEVICE PROPERLY. THE MAIN PROBLEM SEEMS TO HAVE BEEN THE ACCIDENTAL WITHDRAWAL OF THE LEFT RENAL ARTERY WIRE BY THE SCRUB NURSE, COUPLED WITH THE INABILITY OF THE OPERATORS TO CANNULATE AND DEPLOY THE BRIDGING STENTS INTO ANY OF THE FENESTRATIONS AND TARGET VESSEL ORIFICES. THEY WERE ABLE TO GET A SHEATH INTO THE SUPERIOR MESENTERIC ARTERY BUT COULDN¿T DEPLOY A BRIDGING STENT IN THERE. THEY WERE UNABLE TO FIND AND CANNULATE THE RIGHT RENAL ARTERY. THE LEFT RENAL ARTERY HAD BEEN CANNULATED FIRST, BUT THE WIRE WAS ACCIDENTALLY PULLED OUT AND THE VESSEL COULD NOT BE RE-CANNULATED." WORK ORDER (B)(4) WAS REVIEWED AND APPEARS COMPLETE AND CORRECT. THE DEVICE IFU STATES: - THE GRAFT IS REDUCED IN DIAMETER BY AN INDEPENDENT WIRE TIED TO DIAMETER REDUCING TIES, WHICH ALLOWS THE GRAFT TO BE MANIPULATED WITHIN THE AORTA TO ALLOW ACCURATE POSITIONING OF THE GRAFT, WHICH ENABLES THE FENESTRATION(S) TO LINE UP WITH THE DESIRED ARTERIES - THE ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT WITH THE H&L-B ONE-SHOT INTRODUCTION SYSTEM SHOULD ONLY BE USED BY PHYSICIANS AND TEAMS TRAINED IN VASCULAR INTERVENTIONAL TECHNIQUES AND IN THE USE OF THIS DEVICE, WHICH REQUIRES PRECISE PLANNING/SIZING AS WELL AS ACCURATE LONGITUDINAL POSITIONING AND ROTATIONAL ORIENTATION DURING PLACEMENT. - INAPPROPRIATE PATIENT SELECTION MAY RESULT IN POOR PERFORMANCE OF THE ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT WITH THE H&L-B ONE-SHOT INTRODUCTION SYSTEM. - VESSELS THAT ARE SIGNIFICANTLY CALCIFIED, OCCLUSIVE, TORTUOUS OR THROMBUS-LINED MAY PRECLUDE PLACEMENT OF THE ENDOVASCULAR GRAFT AND/OR MAY INCREASE THE RISK OF EMBOLIZATION/TRAUMA - UNLESS MEDICALLY INDICATED, DO NOT DEPLOY THE ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT IN A LOCATION THAT WILL OCCLUDE ARTERIES NECESSARY TO SUPPLY BLOOD FLOW TO ORGANS OR EXTREMITIES. DO NOT COVER SIGNIFICANT RENAL OR MESENTERIC ARTERIES (EXCEPTION IS THE INFERIOR MESENTERIC ARTERY) WITH THE ENDOPROSTHESIS. - CAUTION: MAINTAIN WIRE GUIDE POSITION DURING DELIVERY SYSTEM INSERTIONS. - TECHNIQUES TO ENSURE THAT THE FENESTRATION(S) AND/OR SCALLOP(S) WILL ACCURATELY ALIGN WITH THEIR RESPECTIVE VESSELS WILL VARY, AND WILL DEPEND UPON VESSEL ANATOMY, GRAFT DESIGN, AND PHYSICIAN PREFERENCES BASED ON THE INFORMATION PRESENT, THE DIFFICULTY REPORTED BY THE CUSTOMER SEEMS TO BE RELATED TO PATIENT'S ANATOMY WITH NO EVIDENCE THAT A DEVICE NON-CONFORMANCE OR DEFICIENCY CONTRIBUTED TO THE COMPLAINT.

    Description of Event or Problem · 0

    THE PROXIMAL COMPONENT GRAFT WAS ORIENTED ON TOP OF THE PATIENT¿S ABDOMEN PER IFU. THE GRAFT WAS THEN INTRODUCED INTO THE PATIENT VIA THE LEFT COMMON FEMORAL (LCF) ARTERY. AN ANGIOGRAM WAS DONE TO CONFIRM POSITION OF THE SUPERIOR MESENTERIC ARTERY (SMA) AND BOTH RENAL ARTERIES. DEVICE WAS POSITIONED WITH THE GUIDANCE OF OUR ANGIO. ONCE IN POSITION, THE DOCTOR UNSHEATHED THE ENTIRE PROXIMAL COMPONENT. HE THEN CANNULATED THE BOTTOM OF THE GRAFT. ONCE INSIDE THE GRAFT THROUGH THE 20F SHEATH IN THE RIGHT COMMON FEMORAL (RCF) ARTERY, THE LEFT RENAL ARTERY (LRA) WAS CANNULATED AND A 7F ANSEL SHEATH WAS ADVANCED INTO THE LRA. THE DOCTOR THEN ATTEMPTED TO CANNULATE THE RIGHT RENAL ARTERY (RRA). THE DOCTOR WAS HAVING TROUBLE TELLING EXACTLY WHERE THE RRA OSTIUM WAS LOCATED. AFTER NUMEROUS ATTEMPTS WITH DIFFERENT CATHETERS, WIRES, ETC. THE DOCTOR DECIDED TO ADDRESS THE LRA & SMA AND THEN COME BACK TO THE RRA. THE SMA WAS CANNULATE WITHIN THE GRAFT AND A 7F 70CM ANSEL WAS ADVANCED TO THE FENESTRATION. THE DOCTOR WAS UNABLE TO ADVANCE THE 7F SHEATH INTO THE SMA FENESTRATION. THE DOCTOR THEN WENT TO ADDRESS THE LRA. THE WIRE IN THE LRA WAS ACCIDENTALLY PULLED OUT BY THE SCRUB NURSE AND THE DOCTOR WAS NOT ABLE TO GET BACK INTO THE LRA THROUGH THE FENESTRATION. AT THIS POINT, THE DOCTOR AND STAFF DECIDED IT WAS TIME TO BAIL ON THE PROCEDURE. THE DECISION WAS MADE TO PULL THE GRAFT DOWN TO THE AORTIC BIFURCATION, BELOW THE RENALS AND DEPLOY THE GRAFT. THE GRAFT WAS DEPLOYED WITHOUT ANY INCIDENT.

    Description of Event or Problem · 1

    THE PROXIMAL COMPONENT GRAFT WAS ORIENTED ON TOP OF THE PATIENT¿S ABDOMEN PER IFU. THE GRAFT WAS THEN INTRODUCED INTO THE PATIENT VIA THE LEFT COMMON FEMORAL (LCF) ARTERY. AN ANGIOGRAM WAS DONE TO CONFIRM POSITION OF THE SUPERIOR MESENTERIC ARTERY (SMA) AND BOTH RENAL ARTERIES. DEVICE WAS POSITIONED WITH THE GUIDANCE OF OUR ANGIO. ONCE IN POSITION, THE DOCTOR UNSHEATHED THE ENTIRE PROXIMAL COMPONENT. HE THEN CANNULATED THE BOTTOM OF THE GRAFT. ONCE INSIDE THE GRAFT THROUGH THE 20F SHEATH IN THE RIGHT COMMON FEMORAL (RCF) ARTERY, THE LEFT RENAL ARTERY (LRA) WAS CANNULATED AND A 7F ANSEL SHEATH WAS ADVANCED INTO THE LRA. THE DOCTOR THEN ATTEMPTED TO CANNULATE THE RIGHT RENAL ARTERY (RRA). THE DOCTOR WAS HAVING TROUBLE TELLING EXACTLY WHERE THE RRA OSTIUM WAS LOCATED. AFTER NUMEROUS ATTEMPTS WITH DIFFERENT CATHETERS, WIRES, ETC. THE DOCTOR DECIDED TO ADDRESS THE LRA & SMA AND THEN COME BACK TO THE RRA. THE SMA WAS CANNULATE WITHIN THE GRAFT AND A 7F 70CM ANSEL WAS ADVANCED TO THE FENESTRATION. THE DOCTOR WAS UNABLE TO ADVANCE THE 7F SHEATH INTO THE SMA FENESTRATION. THE DOCTOR THEN WENT TO ADDRESS THE LRA. THE WIRE IN THE LRA WAS ACCIDENTALLY PULLED OUT BY THE SCRUB NURSE AND THE DOCTOR WAS NOT ABLE TO GET BACK INTO THE LRA THROUGH THE FENESTRATION. AT THIS POINT, THE DOCTOR AND STAFF DECIDED IT WAS TIME TO BAIL ON THE PROCEDURE. THE DECISION WAS MADE TO PULL THE GRAFT DOWN TO THE AORTIC BIFURCATION, BELOW THE RENALS AND DEPLOY THE GRAFT. THE GRAFT WAS DEPLOYED WITHOUT ANY INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    52236 ZENITH FENESTRATED AAA ENDOVASCULAR GRAFT PROXIMAL BODY MIH SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH WILLIAM A. COOK AUSTRALIA, PTY LTD G32540 10827002325408

    Patients

    Seq Age Sex Outcome Treatment
    1 65 YR