Reported Reactions

Devices › System, endovascular graft, aortic aneurysm treatment

Device brand name · Bifurcated stent graft

Afx: medical device reports filed with FDA

3,584 reports name it, 2015–2026. Manufacturer given most often on reports: Endologix. Product code MIH.

3,584
device reports naming the brand
0% of all MAUDE reports · about 321 a year
30
reports, 12 months to August 2026
66 in the 12 months before
1.9%
classified as malfunction
14.8% across the product code
5%
classified as death, as reported
178 reports · not verified by FDA

3,584 medical device reports received by FDA name the brand "Afx" (bifurcated stent graft); the manufacturer given most often on reports is Endologix; received from May 2015 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

30 reports arrived in the 12 months to August 2026, down 55% from 66 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (93.2%), death (5%) and malfunction (1.9%); across all system, endovascular graft, aortic aneurysm treatment reports (product code MIH) death is recorded in 9.8% and malfunction in 14.8%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are leak/splash (44.6%), failure to adhere or bond (25.8%) and insufficient device problem information (21.4%). The patient problems coded most often are failure of implant, aneurysm and rupture. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

04182Sep 2021: 82Oct 2021: 20Nov 2021: 12Dec 2021: 222022Jan 2022: 11Feb 2022: 9Mar 2022: 21Apr 2022: 13May 2022: 11Jun 2022: 50Jul 2022: 11Aug 2022: 9Sep 2022: 10Oct 2022: 6Nov 2022: 8Dec 2022: 112023Jan 2023: 6Feb 2023: 7Mar 2023: 6Apr 2023: 37May 2023: 51Jun 2023: 4Jul 2023: 6Aug 2023: 11Sep 2023: 5Oct 2023: 6Nov 2023: 8Dec 2023: 72024Jan 2024: 7Feb 2024: 3Mar 2024: 4Apr 2024: 2May 2024: 6Jun 2024: 8Jul 2024: 6Aug 2024: 2Sep 2024: 4Oct 2024: 3Nov 2024: 3Dec 2024: 32025Jan 2025: 3Feb 2025: 2Mar 2025: 6Apr 2025: 6May 2025: 25Jun 2025: 5Jul 2025: 4Aug 2025: 2Sep 2025: 3Oct 2025: 1Nov 2025: 1Dec 2025: 32026Jan 2026: 3Feb 2026: 1Mar 2026: 4Apr 2026: 0May 2026: 2Jun 2026: 6Jul 2026: 4Aug 2026: 2

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

03887762015: 18920152016: 5032017: 60020172018: 7762019: 46720192020: 2502021: 34120212022: 1702023: 15420232024: 512025: 6120252026: 22

Event type and report source

Event type, as classified on the report

Death5%178
Injury93.2%3,339
Malfunction1.9%67
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.9%3,581
Voluntary report0.1%2
User facility report0%0
Distributor report0%0
Not given0%1

Grey bar: all 72,039 reports carrying product code MIH. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Leak/splashthe device leaked1,59844.6%33.8%
Failure to adhere or bond92425.8%1.8%
Insufficient device problem information76721.4%6.4%
Material puncture/hole63717.8%1.6%
Hole in material57916.2%1%
Material integrity problema problem with the device material51814.5%1.1%
Unintended movement2226.2%0.6%
Detachment of device component1875.2%0.7%
Stretched1815.1%0.3%
Improper or incorrect procedure or method1604.5%1.3%
Loss of or failure to bond1554.3%0.3%
Migration or expulsion of device1504.2%6.1%
Patient-device incompatibilitythe device did not suit the patient1494.2%3.4%
Off-label use1153.2%1.1%
Separation problem1032.9%0.3%
Product quality problem962.7%0.2%
Migrationthe device moved from where it was placed882.5%1.4%
Lack of effect852.4%0.7%
Fracturea broken bone792.2%0.7%
Occlusion within devicethe device blocked671.9%5.4%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Failure of implant2,87880.3%
Aneurysm1,17832.9%
Rupturethe device burst3048.5%
Clinical endoleak1865.2%
Painpain, site not specified1845.1%
Deaththe patient died; cause not stated by this term1383.9%
Hemorrhage/blood loss/bleeding1383.9%
Occlusion1263.5%
Ruptured aneurysm972.7%
Stenosis942.6%
Thrombus641.8%
Ischemia541.5%
Thrombosis521.5%
Blood loss481.3%
Abdominal painstomach or belly pain441.2%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureAfxProduct code MIHAll MAUDE reports
Reports3,58472,03926,136,888
Share of that pool—5%0%
Classified as death, per 1,000 reports50989
Classified as injury93.2%74.9%36.2%
Classified as malfunction1.9%14.8%62.3%
Filed by the manufacturer99.9%99%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code MIH

BrandReportsLatest 12 monthsClassified as death
GORE EXCLUDER AAA Endoprosthesis9,5906334.8%
Gore Tag Thoracic Endoprosthesis2,829414.7%
Endurant1,861014.7%
Endurant Iis Bifurcated Stent Graft1,70612111.6%
Valiant Captivia - FF1,5329515.1%
GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System1,4743117.7%
Endurant Stent Graft1,4715610%
Afx21,2631236.4%
Medtronic Aneurx Bifurcated Stent Graft Flexible1,26309.7%
Zenith Flex AAA Endovascular Graft Bifurcated Main Body1,172156.1%
Valiant Navion1,1494017.4%
Ancure Endograft System1,12605.1%
Endurant Abdominal Stent Graft System997012.9%
Afx System88208.4%
Ovation IX870453.1%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about Afx reports

How many FDA reports name Afx?

3,584 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 30 in the latest 12 months.

What kinds of events are reported?

injury (93.2%), death (5%) and malfunction (1.9%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

leak/splash (44.6%), failure to adhere or bond (25.8%), insufficient device problem information (21.4%), material puncture/hole (17.8%) and hole in material (16.2%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.9%) and voluntary reports (0.1%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Afx was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.