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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: COVIDIEN SPIDER FX

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COVIDIEN SPIDER FX Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problem Pseudoaneurysm (2605)
Event Date 08/22/2018
Event Type  Injury  
Manufacturer Narrative
Published date carotid artery stenting with proximal embolic protection via the transbrachial approach: sheathless navigation of a 9-f balloon-guiding catheter neuroradiology (2018) 60:1097¿1101 https://doi.Org/10.1007/s00234-018-2085-2.If information is provided in the future, a supplemental report will be issued.
 
Event Description
A transbrachial cas technique with proximal protection by sheathless navigation of a 9-f balloon-guiding catheter with an outer diameter equivalent to a 7-f sheath was performed in 8 consecutive patients among 39 patients who underwent cas from april 2016 to june 2017.Medtronic devices such as carotid guardwire and spider fx were used during the procedure.Technical success was accomplished in all patients.For a patient who received treatment for a right side carotid stenosis which exhibited 63% stenosis with a type 3 aortic arch, a pseudoaneurysm at the access site was reported.The common carotid artery (cca) takeoff angle is reported as 45 degrees.This required ultrasound-guided compression.
 
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Brand Name
SPIDER FX
Manufacturer (Section D)
COVIDIEN
4600 nathan lane north
plymouth MN 55442
Manufacturer (Section G)
COVIDIEN
4600 nathan lane north
plymouth MN 55442
Manufacturer Contact
toni o'doherty
parkmore business park west
galway 
091708734
MDR Report Key8052106
MDR Text Key126574651
Report Number2183870-2018-00507
Device Sequence Number1
Product Code NTE
Combination Product (y/n)N
Reporter Country CodeJA
PMA/PMN Number
K111010
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type foreign,literature
Reporter Occupation Other
Type of Report Initial
Report Date 11/08/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/08/2018
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Health Professional
Was Device Available for Evaluation? No
Date Manufacturer Received10/16/2018
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age81 YR
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