inforMED
InjuryOUT

SURPASS EVOLVE 5.0MM X 20MM - CE

Received Jun 19, 2026 · Event occurred Apr 9, 2026

Report 3008881809-2026-00375 · MDR key 25566807

Device

Generic name

Intracranial Aneurysm Flow Diverter

Catalog number

FD50020

Lot number

25466507

Product problems

  • Migration or Expulsion of Device

Patient

57 YR · Female

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT ON (B)(6) 2025, PATIENT HAD A RIGHT INTERNAL CAROTID ARTERY-OPHTHALMIC (C6 SEGMENT) SACCULAR ANEURYSM (3X2MM, NECK 3.16MM) WITH NO PARENT ARTERY STENOSIS WHICH WAS TREATED WITH THE SUBJECT FLOW-DIVERTER STENT COMPLETELY COVERED ANEURYSM NECK. DURING PATIENT FOLLOW UP VISITS ON (B)(6) 2026, ANGIOGRAM SHOWED ¿AFTER SUBJECT FLOW-DIVERTER STENT IMPLANTATION FOR ANEURYSM AT THE OPHTHALMIC SEGMENT OF THE RIGHT INTERNAL CAROTID ARTERY, STENT RETRACTION OCCURRED AND THE ANEURYSM REMAINED UNHEALED¿. THE DISTAL END OF THE SUBJECT FLOW-DIVERTER STENT HAS MIGRATED TO THE PROXIMAL SIDE OF THE ANEURYSM. RETREATMENT WAS PERFORMED ON (B)(6) 2026 WITH ANOTHER FLOW-DIVERTER STENT AND THE ADVERSE EVENT WAS RESOLVED ON 2-MAY-2026 AND THE PATIENT HAS RECOVERED.