Reported Reactions

Devices › System, endovascular graft, aortic aneurysm treatment

Device brand name · Mih system endovascular graft aortic aneurysm treatment

Zenith Alpha Thoracic Endovascular Graft Proximal Components: medical device reports filed with FDA

500 reports name it, 2016–2026. Manufacturer given most often on reports: William Cook Europe. Product code MIH.

500
device reports naming the brand
0% of all MAUDE reports · about 48 a year
45
reports, 12 months to August 2026
72 in the 12 months before
36%
classified as malfunction
14.8% across the product code
8.2%
classified as death, as reported
41 reports · not verified by FDA

FDA's MAUDE database holds 500 reports that name the brand "Zenith Alpha Thoracic Endovascular Graft Proximal Components" (mih system endovascular graft aortic aneurysm treatment), received between January 2016 and August 2026; the manufacturer given most often on reports is William Cook Europe. Spellings of one product vary from report to report.

45 reports arrived in the 12 months to August 2026, down 37% from 72 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 (55.8%), malfunction (36%) and death (8.2%); 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 off-label use (19.4%), failure to advance (8.8%) and malposition of device (8.4%). The patient problems coded most often are clinical endoleak, appropriate clinical signs, symptoms and conditions term/code not available and thrombosis/thrombus. 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

01325Sep 2021: 4Oct 2021: 18Nov 2021: 6Dec 2021: 52022Jan 2022: 6Feb 2022: 6Mar 2022: 4Apr 2022: 4May 2022: 7Jun 2022: 2Jul 2022: 3Aug 2022: 3Sep 2022: 2Oct 2022: 1Nov 2022: 5Dec 2022: 42023Jan 2023: 3Feb 2023: 3Mar 2023: 2Apr 2023: 1May 2023: 3Jun 2023: 2Jul 2023: 3Aug 2023: 0Sep 2023: 0Oct 2023: 7Nov 2023: 0Dec 2023: 42024Jan 2024: 1Feb 2024: 4Mar 2024: 0Apr 2024: 6May 2024: 3Jun 2024: 10Jul 2024: 6Aug 2024: 25Sep 2024: 12Oct 2024: 6Nov 2024: 8Dec 2024: 22025Jan 2025: 5Feb 2025: 4Mar 2025: 4Apr 2025: 6May 2025: 13Jun 2025: 3Jul 2025: 7Aug 2025: 2Sep 2025: 5Oct 2025: 2Nov 2025: 2Dec 2025: 22026Jan 2026: 4Feb 2026: 7Mar 2026: 3Apr 2026: 4May 2026: 4Jun 2026: 3Jul 2026: 7Aug 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

042832016: 2720162017: 362018: 4220182019: 472020: 3920202021: 622022: 4720222023: 282024: 8320242025: 552026: 342026

Event type and report source

Event type, as classified on the report

Death8.2%41
Injury55.8%279
Malfunction36%180
Other0%0
Not given0%0

Who filed the report

Manufacturer report93.2%466
Voluntary report0%0
User facility report0%0
Distributor report6.8%34
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
Off-label use9719.4%1.1%
Failure to advance448.8%1.1%
Malposition of device428.4%3.9%
Device endoleak408%1.2%
Leak/splashthe device leaked387.6%33.8%
Improper or incorrect procedure or method377.4%1.3%
Obstruction of flow377.4%1%
Patient device interaction problem357%0.7%
Device dislodged or dislocated316.2%0.6%
Positioning problem224.4%0.8%
Occlusion within devicethe device blocked204%5.4%
Difficult to advance193.8%0.6%
Loosening of implant not related to bone-ingrowth142.8%0.1%
Physical resistance/sticking142.8%0.2%
Device tipped over132.6%0%
Activation, positioning or separation problem122.4%1.7%
Fluid/blood leak122.4%1.8%
Loss of or failure to bond122.4%0.3%
Insufficient device problem information112.2%6.4%
Entrapment of device81.6%0.2%

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
Clinical endoleak10120.2%
Appropriate clinical signs, symptoms and conditions term/code not available5210.4%
Thrombosis/thrombus377.4%
Deaththe patient died; cause not stated by this term244.8%
Vascular dissection244.8%
Thrombus193.8%
Aneurysm91.8%
Cardiac arrestthe heart stopped91.8%
Hemorrhage/blood loss/bleeding91.8%
Thrombosis91.8%
Obstruction/occlusion81.6%
Paraplegia81.6%
Aneurysm expansion71.4%
Rupturethe device burst71.4%
Ruptured aneurysm71.4%

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

In context

MeasureZenith Alpha Thoracic Endovascular Graft Proximal ComponentsProduct code MIHAll MAUDE reports
Reports50072,03926,136,888
Share of that pool—0.7%0%
Classified as death, per 1,000 reports82989
Classified as injury55.8%74.9%36.2%
Classified as malfunction36%14.8%62.3%
Filed by the manufacturer93.2%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%
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%

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 Zenith Alpha Thoracic Endovascular Graft Proximal Components reports

How many FDA reports name Zenith Alpha Thoracic Endovascular Graft Proximal Components?

500 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 45 in the latest 12 months.

What kinds of events are reported?

injury (55.8%), malfunction (36%) and death (8.2%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

off-label use (19.4%), failure to advance (8.8%), malposition of device (8.4%), device endoleak (8%) and leak/splash (7.6%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (93.2%) and distributor reports (6.8%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that Zenith Alpha Thoracic Endovascular Graft Proximal Components 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.