W. L. GORE & ASSOCIATES, INC. GORE® VIABAHN® VBX BALLOON EXPANDABLE ENDOPROSTHESIS; ILIAC COVERED STENT, ARTERIAL
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Catalog Number BXA067902E |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Event Date 08/22/2023 |
Event Type
Injury
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Event Description
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The following was reported to gore: on or about (b)(6) 2019, a gore® viabahn® vbx balloon expandable endoprosthesis (vbx device) was implanted in the right renal artery as one of the four branch devices during a thoraco-abdominal aneurysm procedure.A patient follow-up was done on (b)(6) 2023.At t his time a control cta was performed, and a type 3-b endoleak was observed.On (b)(6) 2023, the observed endoleak was excluded with an implant of a new 6mm x 59mm vbx device.As reported, the outcome was successful and the patient was doing well following the procedure.
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Manufacturer Narrative
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Cbas® heparin surface incorporates carmeda heparin manufactured from heparin sodium api, which is covalently bound to the device surface and is essentially non-eluting.A4: patient weight was requested but not made available.B7: patient relevant medical history and medication information was requested but not made available.H6 - code c19: review of device manufacturing record history confirmed device met pre-release specifications.H6 - code b20: the device remains implanted.Therefore, direct product analysis was not possible.W.L.Gore & associates, inc.(gore) is submitting this report to comply with 21 c.F.R.Part 803, the medical device reporting regulation.This report is based upon information obtained by gore, which the company may not have been able to fully investigate or verify prior to the date the report was required by the fda.Blank fields present on this report include required fields and fields determined to be not applicable.Blank required fields indicate that the information was not provided, was deemed unavailable or was not applicable.This report does not constitute an admission or a conclusion by fda, gore, or its associates that the device, gore or its associates caused or contributed to the event described in the report.In particular, this report does not constitute a legal admission by anyone that the product described in this report has any defects or has malfunctioned, as defined from a legal standpoint.These words are included in the report and are fixed items for selection created by the fda, to categorize the type of event solely for the purpose of reporting pursuant to part 803.This statement should be included with any information or report disclosed to the public under the freedom of information act.
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Manufacturer Narrative
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B5: description was updated with correct implant date.D6a: implant date was corrected.
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Event Description
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On (b)(6), 2019, a gore® viabahn® vbx balloon expandable endoprosthesis (vbx device) was implanted in the right renal artery as one of the four branch devices during treatment of a thoraco-abdominal aneurysm.During a follow-up on (b)(6) 2023, a control cta was performed, and a type 3b endoleak was noted.On (b)(6) 2023, the observed endoleak was excluded with an implant of a 6mm x 59mm vbx device.The outcome was successful and the patient was reported to be doing well following the procedure.
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Search Alerts/Recalls
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