FDA Adverse Event Malfunction Summary report: N

UNK-CV-SR-ENDURANT

MDR report key: 8225743 · Received January 8, 2019

Report

Report Number
2953200-2019-00040
Event Type
Malfunction
Date Received
January 8, 2019
Date of Event
October 23, 2017
Report Date
January 8, 2019
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM THE JOURNAL ARTICLE ENTITLED; CHARACTERIZATION AND OUTCOMES OF REINTERVENTIONS IN FOOD AND DRUG ADMINISTRATION-APPROVED VERSUS TRIAL ENDOVASCULAR ANEURYSM REPAIR DEVICES. ALEXANDER S. FAIRMAN, MD, GRACE J. WANG, MD, BENJAMIN M. JACKSON, MD, PAUL J. FOLEY, MD, SCOTT M. DAMRAUER, MD, VENKAT KALAPATAPU, MD, MICHAEL A. GOLDEN, MD, AND RONALD M. FAIRMAN, MD J VASC SURG 2018 (67) ISSUE 4 HTTPS://DOI.ORG/10.1016/J.JVS.2017.08.058. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ENDURANT STENT GRAFTS WERE IMPLANTED INTO PATIENTS FOR ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR. THE AVERAGE ANEURYSM SIZE WAS 59MM. THE FOLLOWING EVENTS WERE REPORTED: MALFUNCTION: TYPE I ENDOLEAK TYPE III ENDOLEAK LIMB KINK ENDOTENSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
20441 UNK-CV-SR-ENDURANT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 72 YR