Endologix, a developer and marketer of treatments for aortic disorders, has announced that the US Food and Drug Administration (FDA) has classified a voluntary recall action that Endologix took in July of this year, as a Class I recall. The July recall involved the company’s issuance of a safety notice to healthcare professionals using the AFX Endovascular AAA System.
The safety notice, dated 20 July 2018, provided updated information on comparative AFX Type III endoleak rates, patient-tailored surveillance recommendations, and recommendations for intervening through an AFX device or re-intervening on an AFX device. No product was removed from the field as part of this recall.
The July 2018 Safety notice followed several earlier communications. Safety notices from Endologix issued in late 2016 and early 2017 requested that all remaining AFX Strata devices be returned from the field and emphasised that Endologix had not manufactured AFX Strata grafts since 2014. On 28 September, 2017, the FDA issued a letter to healthcare professionals to raise awareness of an increased occurrence of Type III endoleaks after endovascular aneurysm repair (EVAR). On 19 June, 2018, the FDA issued an updated letter to healthcare professionals indicating the increased risk for Type III endoleak appears to be specific to one device at this time, the AFX with Strata device.
“As outlined at our Investor Day on 2 October, 2018, the AFX Strata product was removed from global inventory in the first half of 2017. Our current commercially available versions of the AFX system, the AFX Duraply and AFX2 products, are manufactured using a different ePTFE processing methodology and include additional product improvements,” noted John Onopchenko, chief executive officer of Endologix. “These AFX Duraply and AFX2 products, while part of the July 2018 Safety Notice providing updated recommendations to healthcare professionals on how to re-intervene on or through these products, were not the subject of the voluntary product removal actions in December 2016/January 2017. Furthermore, AFX Duraply and AFX2 products were not the subject of the 19 June, 2018 FDA letter to healthcare professionals. Through our comprehensive system of post-market surveillance, anonymised registry data, and the only randomised trial to compare EVAR systems (the LEOPARD trial), we have a strong and growing evidence base that supports the use of the AFX Duraply and AFX2 systems for patients with AAA. We are proud of, and committed to, advancing our collaborative work with the FDA on behalf of our patients, customers, and the broader clinical community.”