GORE PROPATEN VASCULAR GRAFT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-03 for GORE PROPATEN VASCULAR GRAFT manufactured by W.l. Gore & Associates.

Event Text Entries

[186573085] The other reportable complication: graft infection gore? Acuseal vascular graftis being reported under mfr. Report # 2017233-2020-00007.
Patient Sequence No: 1, Text Type: N, H10


[186573086] The following publication was reviewed: comparison on forearm loop vascular accesses using gore? Propaten? Vascular graft and gore? Acuseal vascular graft introduction gore? Propaten? Vascular graft (hereinafter, propaten) had been used for cases in which internal shunt by autogenous vein is difficult to create before 2015, however, from january 2015, gore? Acuseal vascular graft (hereinafter, acuseal), which has excellent hemostatic features due to its thick wall of 1. 4 mm and allows early perforation, has been the initial choice in principle. At this time, the treatment results of propaten and acuseal were compared. Method and results: we examined retrospectively 46 cases in which vascular access of forearm loop was created from january 2015 to december 2018. Propaten group (hereinafter, group p) was 22 cases (47. 8%), and acuseal group (hereinafter, group a) was 24 cases (52. 2%). The average age was 70. 5? 12. 9 years old for group p, and 66. 3? 11. 1 years old (p=0. 27) for group a. The average operation period was 146? 41. 3 minutes for group p, and 159? 42. 4 minutes (p=0. 20) for group a. The amount of bleeding was 33? 29 ml for group p, and 21? 33 ml (p=0. 01) for group a. The bleeding amount of group a was significantly less. Regarding postoperative complication, steal syndrome was recognized in 1 case, and graft infection was recognized in 1 case for group p. Stenosis/occlusion was recognized in 2 cases, and graft infection was recognized in 1 case for group a (p=0. 71). The average observation period was 7. 1 months? 6. 7 months for group p, and 11. 8? 7. 8 months (p=0. 02) for group a. The primary patency at six months was 62. 3 % for group p, 55. 6 % (p=0. 18) for group a, the assisted-primary patency at six months was 89. 5 % for group p, and 59. 9% (p=0. 08) for group a. The secondary patency was 95. 5% for group p, and 73. 3 % (p=0. 10) for group a. The secondary patency of group a tends to be lower than group p. Consideration: acuseal has excellent hemostatic features due to its thick wall, thus, early perforation was possible and the amount of bleeding during operation was few. However, there were more postoperative early occlusion, and the patency tends to be lower. It is essential to use a suitable graft by understanding the characteristics of each graft.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2017233-2020-00008
MDR Report Key9547592
Date Received2020-01-03
Date of Report2019-12-04
Date of Event2019-10-01
Date Added to Maude2020-01-03
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 FDA3
Event Location3
Manufacturer ContactHEIDI INSKEEP
Manufacturer Street1500 N. 4TH STREET
Manufacturer CityAZ
Manufacturer Phone9285263030
Manufacturer G1MEDICAL WEST B/P
Manufacturer Street1505 N. FOURTH STREET
Manufacturer CityFLAGSTAFF AZ 86004
Manufacturer CountryUS
Manufacturer Postal Code86004
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGORE PROPATEN VASCULAR GRAFT
Generic NamePROSTHESIS, VASCULAR GRAFT
Product CodeDSY
Date Received2020-01-03
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerW.L. GORE & ASSOCIATES
Manufacturer AddressFLAGSTAFF AZ


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other; 3. Required No Informationntervention 2020-01-03

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