FDA Adverse Event Malfunction Summary report: N

ENDURANT STENT GRAFT

MDR report key: 7713298 · Received July 24, 2018

Report

Report Number
2953200-2018-01090
Event Type
Malfunction
Date Received
July 24, 2018
Date of Event
May 31, 2018
Report Date
October 3, 2018
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM THE JOURNAL ARTICLE ENTITLED; OUTCOMES OVER TIME IN PATIENTS WITH HOSTILE NECK ANATOMY UNDERGOING ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSM YOLANDA BRYCE, WONHO KIM, BARRY KATZEN, JAMES BENENATI & SHAUN SAMUELS J VASC INTERV RADIOL (2018) 29, HTTPS://DOI.ORG/10.1016/J.JVIR.2018.03.0. EXACT IMPLANT DATE UNKNOWN. 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

ENDURANT SENT GRAFT SYSTEMS WERE IMPLANTED INTO PATIENTS FOR THE ENDOVASCULAR TREATMENT FOR ABDOMINAL AORTIC ANEURYSM (AAA) ON DATES BETWEEN JANUARY 2004 AND DECEMBER 2013. THE FOLLOWING ADVERSE EVENTS WERE REPORTED: TYPE IA ENDOLEAKS AND ANEURYSM ENLARGEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
558864 ENDURANT STENT GRAFT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND

Patients

Seq Age Sex Outcome Treatment
1 76 YR