FDA Adverse Event Injury Summary report: N

UNK-CV-SR-ENDURANT

MDR report key: 8830264 · Received July 26, 2019

Report

Report Number
9612164-2019-03062
Event Type
Injury
Date Received
July 26, 2019
Date of Event
December 7, 2017
Report Date
July 26, 2019
Manufacturer
MEDTRONIC IRELAND
Product Code
MIH
PMA / PMN Number
P100021
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

MEDTRONIC RECEIVED THE FOLLOWING INFORMATION FROM THE JOURNAL ARTICLE ENTITLED; EDITOR'S CHOICE ¿ LATE OPEN SURGICAL CONVERSION AFTER ENDOVASCULAR ABDOMINAL AORTIC ANEURYSM REPAIR VINAY KANSAL, SUDHIR NAGPAL AND PRASAD JETTY EUR J VASC ENDOVASC SURG 2018 55 (2) HTTPS://DOI.ORG/10.1016/J.EJVS.2017.10.011. IF INFORMATION IS PROVIDED IN THE FUTURE, A SUPPLEMENTAL REPORT WILL BE ISSUED.

Description of Event or Problem · 1

ENDURANT STENT GRAFTS WERE IMPLANTED IN PATIENTS FOR ENDOVASCULAR AORTIC ANEURYSM REPAIR. THE FOLLOWING EVENTS WERE REPORTED: SERIOUS INJURY- ANEURYSM ENLARGEMENT, RUPTURE, INFECTED GRAFT, CONGESTIVE HEART FAILURE, OPEN SURGICAL CONVERSION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
624449 UNK-CV-SR-ENDURANT SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH MEDTRONIC IRELAND UNK-CV-SR-ENDURANT

Patients

Seq Age Sex Outcome Treatment
1 79 YR Required Intervention