MAUDE Adverse Event Report: MEDTRONIC IRELAND ENDURANT II ILIAC STENT GRAFT; SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TR

Catalog Number	ETLW1610C93E
Medical Device Problem Codes	Material Deformation (2976); Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Codes	Low Blood Pressure/ Hypotension (1914); Perforation of Vessels (2135); Insufficient Information (4580)
Date of Event	01/06/2026
Type of Reportable Event	Death
Event or Problem Description
An endurant iis stent graft system was implanted during the endovascular treatment of a 54mm abdominal aortic aneurysm (aaa).It was noted that the physician performed bilateral cutdowns and the beginning of the procedure and was assisted by two fellow doctors.During the index procedure, the final angiogram appeared excellent, with no issues noted, and the case was deemed a success.However, it was reported that during closure, the patient's blood pressure dropped, and all vascular access was lost.The physician quickly regained access, inserted a 16fr sheath, and inflated a reliant balloon within the body of the stent graft from the left side.It was said that the reliant balloon helped during the procedure, as it allowed the physician gain access on the opposite side.It was noted that during closure, the right limb of the stent graft (etlw1610c93e, serial#: (b)(6) was crushed upwards, resulting in a rupture of the right common iliac artery.The physician promptly re-lined the stent graft using a non-medtronic stent graft.Despite these efforts, the patient passed away on the table.According to the physician, the cause of the events, including the patient's death, cannot be determined.
Additional Manufacturer Narrative
Product analysis conclusion: the reported vessel rupture was confirmed; however, the cause of the event could not be determined based on the two (2) brief video angiograms and one (1) still angiogram provided.The reported limb stent graft deformation could not be confirmed due to the poor quality of the images available.Pre-implant cts were not available for review, which prevented a comprehensive assessment of the patient¿s anatomy.Lack of procedural angiograms capturing the stent graft deployment, the moment of vessel rupture, and the implantation of additional stents following the right iliac rupture further limited the ability to thoroughly evaluate the event and identify potential causes.Continuation of d10: section d information references the main component of the system.Other relevant device(s) are: product id: etlw1610c93e, serial/lot#: (b)(6), ubd: 06-mar-2026, udi#: (b)(4).Medtronic submits this report to comply with fda regulations 21 cfr parts 4 and 803.Medtronic has made reasonable efforts to provide as much relevant information as is available to the company as of the submission date of this report.This report does not constitute an admission or a conclusion by fda, medtronic, or its employees that the device, medtronic, or its employee caused or contributed to the event described in the report.Any required fields that are unpopulated are blank because the information is currently unknown or unavailable.Medtronic will submit a supplemental report if additional relevant information becomes known.

• Brand Name: ENDURANT II ILIAC STENT GRAFT
• Common Device Name: SYSTEM, ENDOVASCULAR GRAFT, AORTIC ANEURYSM TR
• Manufacturer (Section D): MEDTRONIC IRELAND; parkmore business park west; galway ; EI
• Manufacturer (Section G): MEDTRONIC IRELAND; parkmore business park west; galway ; EI
• Manufacturer Contact: alison sweeney ; parkmore business park west; galway ; EI ; 091708096
• MDR Report Key: 24142712
• Report Number: 9612164-2026-00400
• Device Sequence Number: 13133414
• Product Code: MIH
• UDI-Device Identifier: 00643169467606
• UDI-Public: (01)00643169467606(17)271006
• Combination Product (Y/N): N
• Initial Reporter State: MI
• Initial Reporter Country: US
• PMA/510(K) Number: P100021
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2026
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,Company Representative
• Initial Reporter Occupation: Physician
• Type of Report: Initial
• Report Date (Section B): 01/22/2026

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Catalogue Number: ETLW1610C93E
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 01/08/2026
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 01/06/2026
• Initial Report FDA Received Date: 01/22/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 10/06/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Concomitant Medical Products and Therapy/Usage Dates: "SEE H11."
• Outcome Attributed to Adverse Event: Required Intervention; Death
• Patient Age: 76 YR
• Patient Sex: Female