ICAST COVERED STENT SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-02-02 for ICAST COVERED STENT SYSTEM manufactured by Atrium Medical Corporation.

Event Text Entries

[188510012] A complete investigation was not able to be performed as no product code, lot number or sample was provided. The article concluded it is feasible to use endoanchors with the chimney-graft technique to prevent type ia endoleaks in the treatment of juxtarenal aaas. Device not returned.
Patient Sequence No: 1, Text Type: N, H10


[188510013] Received an article titled endoanchors minimize endoleaks in chimney graft endovascular repair. Purpose: to report our experience with using this adjunctive step during ch-evar. 6. Method: from july 2013 through july 2014, we used the chimney-graft evar technique in 5 patients whose juxtarenal aaas had a short or no proximal aortic neck. Per the article adverse events included type ii endoleak.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3011175548-2020-00218
MDR Report Key9656974
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-02-02
Date of Report2020-02-02
Date Mfgr Received2020-01-24
Date Added to Maude2020-02-02
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 ContactMS. LYNDA MCLAUGHLIN
Manufacturer Street40 CONTINENTAL BLVD
Manufacturer CityMERRIMACK NH 03054
Manufacturer CountryUS
Manufacturer Postal03054
Manufacturer G1ATRIUM MEDICAL CORPORATION
Manufacturer Street40 CONTINENTAL BLVD
Manufacturer CityMERRIMACK NH 03054
Manufacturer CountryUS
Manufacturer Postal Code03054
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameICAST COVERED STENT SYSTEM
Generic NamePROSTHESIS, TRACHEAL, EXPANDABLE
Product CodeJCT
Date Received2020-02-02
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerATRIUM MEDICAL CORPORATION
Manufacturer Address40 CONTINENTAL BLVD MERRIMACK NH 03054 US 03054


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-02

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