inforMED
InjuryOUT

SURPASS EVOLVE 4.0MM X 12MM - CE

Received Jun 22, 2026 · Event occurred May 27, 2026

Report 3008881809-2026-00384 · MDR key 25587902

Device

Generic name

Intracranial Aneurysm Flow Diverter

Catalog number

FD40012

Lot number

25575309

Product problems

  • Adverse Event Without Identified Device or Use Problem

Patient

62 YR · Female

  • Stenosis

Narrative

Description of Event or Problem

IT WAS REPORTED DURING THE CLINICAL TRAIL THE PATIENT UNDERWENT FLOW-DIVERTER STENT IMPLANTATION FOR RIGHT SUPRAGLENOID INTERNAL CAROTID ARTERY ANEURYSM ON (B)(6) 2025, FOLLOWED BY THE IDENTICAL PROCEDURE FOR LEFT SUPRAGLENOID INTERNAL CAROTID ARTERY ANEURYSM ON (B)(6) 2025. CEREBRAL ANGIOGRAPHY PERFORMED ON (B)(6) 2026 SHOWED SEVERE IN-STENT STENOSIS WITH SLUGGISH ANTEGRADE BLOOD FLOW WAS IDENTIFIED AT THE LEFT SIDE. NO ADVERSE CLINICAL SEQUELAE ATTRIBUTABLE TO THE STENOSIS. NO OTHER INFORMATION IS AVAILABLE.