ONYX ANEURYSM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 03 report with the FDA on 2015-04-03 for ONYX ANEURYSM manufactured by Covidien (irvine).

Event Text Entries

[19724607] Simon et al. Use of intracranial stenting to secure unstable liquid embolic casts in wide neck sidewall intracranial aneurysms was published in operative neurosurgery. Medtronic (covidien) received information through literature review and the following event(s) were captured as a result of the review: in this patient, after microcatheter removal, a small string protrusion or "tail" of onyx was present in the parent artery with cardiac-gated pulsations. In this case the onyx did not laminate or tack down to the endothelium, and unstable pulsatile string was thought to represent a long-term risk. Therefore, a 4. 5 x 37, enterprise vascular reconstruction device (vrd) was placed across the neck of the aneurysm and over the onyx string, securing it against the wall of the parent vessel. Patient awoke without symptoms. Information received from the same article as mfr#s 2029214-2015-00325, 2029214-2015-00331, 2029214-2015-00332.
Patient Sequence No: 1, Text Type: D, B5


[19866527] Http://journals. Lww. Com/neurosurgery/fulltext/2011/08000/use_of_intracranial_stenting_to_secure_unstable. 59. Aspx. This report was created to capture complications described for patient one. The devices will not be returned for analysis as they were consumed in the event; therefore the event cause could not be determined. The lot history record review was not possible since the lot numbers were not reported. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2029214-2015-00330
MDR Report Key4659168
Report Source03
Date Received2015-04-03
Date of Report2015-03-05
Date of Event2010-03-01
Date Mfgr Received2015-03-05
Date Added to Maude2015-04-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMRS. TRICHA MILES
Manufacturer Street9775 TOLEDO WAY
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone9496801224
Manufacturer G1COVIDIEN (IRVINE)
Manufacturer Street9775 TOLEDO WAY
Manufacturer CityIRVINE 92618
Manufacturer CountryUS
Manufacturer Postal Code92618
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameONYX ANEURYSM
Generic NamePOLYMERIZING, NEUROVASCULAR EMBOLIZATION MATERIAL
Product CodeOBA
Date Received2015-04-03
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCOVIDIEN (IRVINE)
Manufacturer Address9775 TOLEDO WAY IRVINE CA 92618 US 92618


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2015-04-03

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