Class I Recall of Endologix, Inc. Recalls AFX Endovascular AAA Systems Due to Risk of Type III Endoleaks

PUBLISHED: Oct 15, 2018
Relevant to: Critical Access Hospitals, Hospitals

Endologix is recalling its AFX Endovascular AAA Systems due to continued reports of Type IIIa and IIIb endoleaks. When a Type III endoleak occurs, blood continues to flow into the aneurysm, increasing the likelihood of a rupture. Left undetected and without treatment, a Type III endoleak may result in serious patient injury, such as an AAA rupture or death.

It is important to note that although this recall applies to all AFX Endovascular AAA Systems, most reports of endoleaks have occurred with the AFX with Strata graft material. Endologix has not manufactured the AFX with Strata graft material since July 2014 and health care providers were advised to remove any remaining inventory from shelves in December 2016. However, the AFX with Duraply graft material and AFX2 devices have been distributed for a shorter time and it is unclear if these devices have fewer endoleaks or if they have not been implanted long enough for endoleaks to occur.

By issuing this recall, Endologix is updating their December 2016 notification and notifying physicians of new patient surveillance recommendations as well as general warnings about interventions to or through an existing AFX device.

Recalled Product(s):

Endologix, Inc. sent an Urgent: Important Safety Update letter dated July 20, 2018, to inform physicians about the following with regards to the AFX Endovascular AAA System: 1) Type III endoleak rates, 2) refined patient-tailored surveillance recommendations, 3) sizing recommendations, and; 4) recommendations for catheter-based interventions through an existing AFX device or interventions to an existing AFX device.

The letter also provided updated information and revisions to the Instructions for Use to enhance patient safety. No product return is required.

Additionally, the letter instructed physicians to:

  • Continue regular, lifelong follow-up of all patients treated with an Endologix AFX Endovascular AAA graft.
  • Revised product Instructions For Use can be provided by hard copy upon request to Endologix Customer Service for the U.S. at 800-983-2284 (5:00 AM - 6:00 PM Pacific Time) or through the Endologix Labeling Library accessible at (KEY-CODES: ELX10022 and ELX10029).
  • Report adverse reactions or quality problems with the use of this product to MedWatch, the FDA's Safety Information and Adverse Event Reporting Program.
  • Contact your Endologix Representative or the Endologix Customer Service Line at 800-983-2284 (5:00 AM - 6:00 PM Pacific Time) with any questions.

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