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 Tapered Components: medical device reports filed with FDA

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

218
device reports naming the brand
0% of all MAUDE reports · about 21 a year
17
reports, 12 months to August 2026
34 in the 12 months before
39%
classified as malfunction
14.8% across the product code
9.6%
classified as death, as reported
21 reports · not verified by FDA

FDA's MAUDE database holds 218 reports that name the brand "Zenith Alpha Thoracic Endovascular Graft Proximal Tapered Components" (mih system endovascular graft aortic aneurysm treatment), received between February 2016 and August 2026; the manufacturer given most often on reports is William Cook Europe. Spellings of one product vary from report to report.

17 reports arrived in the 12 months to August 2026, down 50% from 34 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 (50.9%), malfunction (39%) and death (9.6%); 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 (20.6%), patient device interaction problem (13.3%) and malposition of device (9.2%). The patient problems coded most often are clinical endoleak, vascular dissection and appropriate clinical signs, symptoms and conditions term/code not available. 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

047Sep 2021: 3Oct 2021: 3Nov 2021: 3Dec 2021: 12022Jan 2022: 1Feb 2022: 4Mar 2022: 2Apr 2022: 2May 2022: 3Jun 2022: 3Jul 2022: 1Aug 2022: 2Sep 2022: 2Oct 2022: 3Nov 2022: 4Dec 2022: 32023Jan 2023: 0Feb 2023: 1Mar 2023: 3Apr 2023: 1May 2023: 0Jun 2023: 1Jul 2023: 0Aug 2023: 2Sep 2023: 2Oct 2023: 2Nov 2023: 1Dec 2023: 02024Jan 2024: 3Feb 2024: 1Mar 2024: 3Apr 2024: 0May 2024: 4Jun 2024: 4Jul 2024: 3Aug 2024: 4Sep 2024: 1Oct 2024: 3Nov 2024: 2Dec 2024: 32025Jan 2025: 1Feb 2025: 0Mar 2025: 4Apr 2025: 6May 2025: 3Jun 2025: 1Jul 2025: 7Aug 2025: 3Sep 2025: 4Oct 2025: 0Nov 2025: 5Dec 2025: 22026Jan 2026: 2Feb 2026: 1Mar 2026: 1Apr 2026: 1May 2026: 0Jun 2026: 0Jul 2026: 0Aug 2026: 1

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

018362016: 1920162017: 102018: 1120182019: 152020: 2020202021: 272022: 3020222023: 132024: 3120242025: 362026: 62026

Event type and report source

Event type, as classified on the report

Death9.6%21
Injury50.9%111
Malfunction39%85
Other0%0
Not given0.5%1

Who filed the report

Manufacturer report95.4%208
Voluntary report0%0
User facility report0%0
Distributor report4.6%10
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 use4520.6%1.1%
Patient device interaction problem2913.3%0.7%
Malposition of device209.2%3.9%
Leak/splashthe device leaked177.8%33.8%
Device endoleak167.3%1.2%
Improper or incorrect procedure or method167.3%1.3%
Mechanical jam156.9%0.1%
Device dislodged or dislocated136%0.6%
Failure to advance136%1.1%
Activation failure83.7%0.4%
Material puncture/hole83.7%1.6%
Entrapment of device73.2%0.2%
Physical resistance/sticking73.2%0.2%
Device tipped over52.3%0%
Obstruction of flow52.3%1%
Failure to auto stop41.8%0%
Insufficient device problem information41.8%6.4%
Loosening of implant not related to bone-ingrowth41.8%0.1%
Positioning problem41.8%0.8%
Difficult or delayed activation31.4%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 endoleak5223.9%
Vascular dissection2411%
Appropriate clinical signs, symptoms and conditions term/code not available177.8%
Deaththe patient died; cause not stated by this term136%
Hemorrhage/blood loss/bleeding104.6%
Thrombosis/thrombus73.2%
Aneurysm41.8%
Aortic dissection31.4%
Perforation of vessels31.4%
Rupturethe device burst31.4%
Aneurysm expansion20.9%
Cardiac arrestthe heart stopped20.9%
Chest painchest pain20.9%
Low blood pressure/ hypotension20.9%
Renal failurekidney failure20.9%

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

In context

MeasureZenith Alpha Thoracic Endovascular Graft Proximal Tapered ComponentsProduct code MIHAll MAUDE reports
Reports21872,03926,136,888
Share of that pool—0.3%0%
Classified as death, per 1,000 reports96989
Classified as injury50.9%74.9%36.2%
Classified as malfunction39%14.8%62.3%
Filed by the manufacturer95.4%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 Tapered Components reports

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

218 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 17 in the latest 12 months.

What kinds of events are reported?

injury (50.9%), malfunction (39%) and death (9.6%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

off-label use (20.6%), patient device interaction problem (13.3%), malposition of device (9.2%), leak/splash (7.8%) and device endoleak (7.3%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (95.4%) and distributor reports (4.6%). 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 Tapered 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.