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

[5598457] Citation: dr. Mr r reynolds. Hemorrhagic complications after prasugrel(effient) therapy for vascular neuro-interventional procedures. Published in j neurointervent surg on may 3, 2012. Medtronic (covidien) received information through literature review and the following event was captured as a result of the review: hemorrhage was observed in one patient treated with onyx aneurysm embolization. Patient was given aspirin and clopidogrel. Information received from the same article as mfr# 2029214-2015-00340.
Patient Sequence No: 1, Text Type: D, B5


[13046608] (b)(4). This report was created to capture complications related to the onyx. The onyx was not returned for evaluation as it was consumed in the event. The lot history record review was not possible since the lot number was not reported. Based on the reported information, there did not appear to have been any defect of the onyx during use; therefore its cause was unknown. (b)(4).
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number2029214-2015-00338
MDR Report Key4659425
Report Source03
Date Received2015-04-03
Date of Report2015-03-06
Date of Event2012-05-03
Date Mfgr Received2015-03-06
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. Other 2015-04-03

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