ENDO ANCHOR SYSTEM - HELI-FX AAA SA-85

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,foreig report with the FDA on 2020-01-15 for ENDO ANCHOR SYSTEM - HELI-FX AAA SA-85 manufactured by Medtronic Ireland.

Event Text Entries

[175010872] Other relevant device(s) are: sg-64, s/n: unknown, use by date: unknown, upn #: unknown. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


[175010873] An endurant ii stent graft system was implanted in the endovascular treatment of a 59 mm abdominal aortic aneurysm. During the index procedure an aortic cuff and endoanchors were also implanted. It was reported that five days later, the patient suffered from urinary retention. This was then treated with a urinary catheter being placed in the patient. The event was reported to have resolved eight days later. No cause of the event has been reported. No additional clinical sequelae were reported and the patient is fine. This event has been assessed by the sponsor as having a possible relationship to the procedure, not related to the device or aneurysm.
Patient Sequence No: 1, Text Type: D, B5


[188391409] Associated products information; hg-16-62-28 ; s/n: (b)(4); use by date: (b)(4) 2020; upn # (b)(4), mfg date; 2018-01-03. If information is provided in the future, a supplemental report will be issued.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number9612164-2020-00229
MDR Report Key9590277
Report SourceCOMPANY REPRESENTATIVE,FOREIG
Date Received2020-01-15
Date of Report2020-02-05
Date of Event2019-06-11
Date Mfgr Received2020-01-08
Device Manufacturer Date2019-02-08
Date Added to Maude2020-01-15
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 ContactALISON SWEENEY
Manufacturer StreetPARKMORE BUSINESS PARK WEST
Manufacturer CityGALWAY
Manufacturer Phone091708096
Manufacturer G1MEDTRONIC IRELAND
Manufacturer StreetPARKMORE BUSINESS PARK WEST
Manufacturer CityGALWAY
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameENDO ANCHOR SYSTEM - HELI-FX AAA
Generic NameENDOVASCULAR SUTURING SYSTEM
Product CodeOTD
Date Received2020-01-15
Model NumberSA-85
Catalog NumberSA-85
Lot Number0009583408
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDTRONIC IRELAND
Manufacturer AddressPARKMORE BUSINESS PARK WEST GALWAY


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-01-15

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.