FDA Adverse Event Injury Summary report: N

AORTIC EXCLUDER ILIAC BRANCH ENDOPROSTHESIS (IBE)

MDR report key: 9333846 · Received November 18, 2019

Report

Report Number
2017233-2019-01154
Event Type
Injury
Date Received
November 18, 2019
Date of Event
October 21, 2019
Report Date
December 28, 2020
Manufacturer
W.L. GORE & ASSOCIATES
Product Code
MIH
PMA / PMN Number
P020004
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GM
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 0

B5: ADDED INFORMATION.

Additional Manufacturer Narrative · 0

THE SERIAL NUMBERS FOR THE GORE® EXCLUDER® ILIAC BRANCH ENDOPROSTHESES WAS NOT PROVIDED. THEREFORE, A REVIEW OF THE MANUFACTURING RECORDS COULD NOT BE PERFORMED. H6: CODE 22 - ACCORDING TO THE GORE® EXCLUDER® ILIAC BRANCH ENDOPROSTHESIS INSTRUCTIONS FOR USE (IFU), ADVERSE EVENTS THAT MAY OCCUR AND/OR REQUIRE INTERVENTION INCLUDE, BUT ARE NOT LIMITED TO: ENDOPROSTHESIS OCCLUSION, ENDOLEAK.

Description of Event or Problem · 0

THE INFORMATION ON THE POSTER REPORTED THE FOLLOWING COMPLICATIONS: 3 STENT- AND INTERNAL ILIAC ARTERY OCCLUSIONS DUE TO THROMBUS AND A TYPE 1 ENDOLEAK.

Description of Event or Problem · 1

THE FOLLOWING PUBLICATION WAS REVIEWED: "ERFAHRUNGEN UND ERGEBNISSE MIT DER ENDOVASKULÄREN BEHANDLUNG VON (AORTO-)ILIACALEN ANEURYSMEN MIT ILIAC BRANCH ENDOGRAFT (IBE)" [ENGLISH TRANSLATION: "EXPERIENCES AND RESULTS: ENDOVASCULAR TREATMENT OF (AORTO-) ILIAC ANEURYSMS WITH ILIAC BRANCH ENDOGRAFTS (IBE)"]; POSTER PRESENTATION AT THE 35TH ANNUAL SCIENTIFIC CONFERENCE OF THE DGG, DEUTSCHE GESELLSCHAFT FÜR GEFÄSSCHIRURGIE UND GEFÄSSMEDIZIN (GERMAN SOCIETY FOR VASCULAR SURGERY AND VASCULAR MEDICINE); OCTOBER 16 TO 19, 2019, MANNHEIM (GERMANY). AUTHORS: O. STANGER, S. LACHER, C. SCHÖN, S.SCHÖNHOFER, R. MANSOUR, E.HEYZL, J. HUDJETZ, T.KUBINKE, R.GOTHBI; HELIOS KLINIKUM MÜNCHEN WEST (PASING), AORTENZENTRUM SÜD. PURPOSE: THE POSTER REPORTED ON TECHNICAL AND CLINICAL EXPERIENCES WITH IMPLANTS INVOLVING GORE® EXCLUDER® ILIAC BRANCH ENDOPROSTHESES. METHODS: 62 MALE PATIENTS WITH A MEAN AGE OF 77.7 YEARS WERE TREATED WITH GORE® EXCLUDER® ILIAC BRANCH ENDOPROSTHESES (UNI-ILIAC: N=54; BI-ILIAC: N=8) BETWEEN SEPTEMBER 2013 AND SEPTEMBER 2019. TREATED INDICATIONS WERE ABDOMINAL AORTIC ANEURYSM/COMMON ILIAC ARTERY ANEURYSM: 38 PATIENTS; COMMON ILIAC ARTERY ANEURYSM ONLY: 17 PATIENTS; INTERNAL ILIAC ARTERY ANEURYSM ONLY: 3 PATIENTS; COMMON ILIAC ARTERY ANEURYSM/INTERNAL ILIAC ARTERY ANEURYSM: 4 PATIENTS. RESULTS: RETROSPECTIVE DATA ANALYSIS REVEALED THAT TECHNICAL SUCCESS (24 HOURS) AND CLINICAL IMPLANTATION SUCCESS (30 DAYS) WAS 93.5 % EACH. THERE WAS NO 30 DAY (IN-HOSPITAL) MORTALITY. CUMULATED 130.7 PATIENT YEARS SHOW NOW CASE OF PROSTHESIS INFECTION, LATE OCCLUSION, STENT MIGRATION OR LOSS OF STENT INTEGRITY. THE INFORMATION ON THE POSTER REPORTED OF 3 STENT- AND INTERNAL ILIAC ARTERY OCCLUSIONS DUE TO THROMBUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1133762 AORTIC EXCLUDER ILIAC BRANCH ENDOPROSTHESIS (IBE) SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TREATMENT MIH W.L. GORE & ASSOCIATES

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization| R