Reported Reactions

Devices › System, endovascular graft, aortic aneurysm treatment

Device brand name · Bifurcated stent graft

Afx2: medical device reports filed with FDA

1,263 reports name it, 2016–2026. Manufacturer given most often on reports: Endologix. Product code MIH.

1,263
device reports naming the brand
0% of all MAUDE reports · about 125 a year
123
reports, 12 months to August 2026
131 in the 12 months before
1.1%
classified as malfunction
14.8% across the product code
6.4%
classified as death, as reported
81 reports · not verified by FDA

1,263 medical device reports received by FDA name the brand "Afx2" (bifurcated stent graft); the manufacturer given most often on reports is Endologix; received from June 2016 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

123 reports arrived in the 12 months to August 2026, close to the 131 of 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 (92.5%), death (6.4%) and malfunction (1.1%); 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 material puncture/hole (27.7%), insufficient device problem information (23.5%) and off-label use (16.1%). The patient problems coded most often are failure of implant, clinical endoleak and aneurysm. 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

0816Sep 2021: 14Oct 2021: 16Nov 2021: 7Dec 2021: 132022Jan 2022: 10Feb 2022: 9Mar 2022: 12Apr 2022: 5May 2022: 13Jun 2022: 9Jul 2022: 11Aug 2022: 11Sep 2022: 12Oct 2022: 10Nov 2022: 7Dec 2022: 142023Jan 2023: 10Feb 2023: 12Mar 2023: 13Apr 2023: 7May 2023: 15Jun 2023: 5Jul 2023: 14Aug 2023: 14Sep 2023: 10Oct 2023: 13Nov 2023: 7Dec 2023: 152024Jan 2024: 5Feb 2024: 14Mar 2024: 15Apr 2024: 14May 2024: 9Jun 2024: 11Jul 2024: 11Aug 2024: 14Sep 2024: 6Oct 2024: 7Nov 2024: 13Dec 2024: 142025Jan 2025: 10Feb 2025: 8Mar 2025: 6Apr 2025: 15May 2025: 15Jun 2025: 12Jul 2025: 11Aug 2025: 14Sep 2025: 11Oct 2025: 8Nov 2025: 8Dec 2025: 162026Jan 2026: 5Feb 2026: 11Mar 2026: 12Apr 2026: 11May 2026: 7Jun 2026: 11Jul 2026: 14Aug 2026: 9

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

0841672016: 2420162017: 552018: 14220182019: 1502020: 12020202021: 1672022: 12320222023: 1352024: 13320242025: 1342026: 802026

Event type and report source

Event type, as classified on the report

Death6.4%81
Injury92.5%1,168
Malfunction1.1%14
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.9%1,262
Voluntary report0.1%1
User facility report0%0
Distributor report0%0
Not given0%0

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
Material puncture/hole35027.7%1.6%
Insufficient device problem information29723.5%6.4%
Off-label use20316.1%1.1%
Lack of effect14711.6%0.7%
Leak/splashthe device leaked1128.9%33.8%
Improper or incorrect procedure or method1068.4%1.3%
Separation problem967.6%0.3%
Device-device incompatibility645.1%0.4%
Deformation due to compressive stress584.6%0.5%
Patient-device incompatibilitythe device did not suit the patient483.8%3.4%
Failure to adhere or bond453.6%1.8%
Obstruction of flow352.8%1%
Material integrity problema problem with the device material342.7%1.1%
Occlusion within devicethe device blocked282.2%5.4%
Partial blockage272.1%0.3%
Migrationthe device moved from where it was placed262.1%1.4%
Detachment of device or device componentpart of the device came off231.8%1%
Unintended movement231.8%0.6%
Hole in material171.3%1%
Collapse151.2%0.4%

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 implant62749.6%
Clinical endoleak39231%
Aneurysm38930.8%
Rupturethe device burst907.1%
Occlusion715.6%
Painpain, site not specified604.8%
Deaththe patient died; cause not stated by this term463.6%
Ruptured aneurysm423.3%
Stenosis393.1%
Ischemia372.9%
Obstruction/occlusion252%
Abdominal painstomach or belly pain221.7%
Thrombus211.7%
Thrombosis181.4%
Claudication131%

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

In context

MeasureAfx2Product code MIHAll MAUDE reports
Reports1,26372,03926,136,888
Share of that pool—1.8%0%
Classified as death, per 1,000 reports64989
Classified as injury92.5%74.9%36.2%
Classified as malfunction1.1%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%
Afx3,584305%
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%
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 Afx2 reports

How many FDA reports name Afx2?

1,263 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 123 in the latest 12 months.

What kinds of events are reported?

injury (92.5%), death (6.4%) and malfunction (1.1%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

material puncture/hole (27.7%), insufficient device problem information (23.5%), off-label use (16.1%), lack of effect (11.6%) and leak/splash (8.9%). 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 Afx2 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.