Skip to content

GORE-TEX Vascular Graft Pediatric Shunt VT04010LARecalls & reported problems

W. L. Gore & Associates, Inc. · VG T4MM X 10CM SILK · Class 2 · Implant

Data updated Oct 18, 2026 from official FDA records · Editorial policy

Adverse event reports
1
Deaths reported
0
Injuries reported
1
Recalls naming it
0

Summary

The FDA's MAUDE database contains 1 adverse event report that list this exact device (DI 00733132615865), received between Jun 17, 2021 and Jun 17, 2021 — classified as 1 injury.

The most frequently reported specific device problem is “Obstruction of Flow” (1 report).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.

Most reported problems

Device problems

  • Obstruction of Flow1

Patient problems

  • Thrombosis/Thrombus1

Recent adverse event reports

The 1 most recent of 1 reports, in the reporter's own words as published by the FDA.

  • InjuryJun 17, 2021Obstruction of Flow; Obstruction of Flow

    THE FOLLOWING WAS REPORTED TO GORE: ON (B)(6) 2020, THE PATIENT UNDERWENT A RIGHT THORACOTOMY AS PART OF A BLALOCK-TAUSSIG SHUNT PROCEDURE UTILIZING A GORE-TEX® VASCULAR GRAFT CONFIGURED FOR PEDIATRIC SHUNT DEVICE. AT AN UNKNOWN DATE THE PATIENT PRESENTED WITH THROMBOSIS IN THE GORE-TEX® VASCULAR GRAFT CONFIGURED FOR PEDIATRIC SHUNT DEVICE. FURTHER INFORMATION HAS BEEN REQUESTED BUT IS NOT AVAILABLE AT THIS TIME. PHYSICIAN CONFIRMED ALL SHUNTS ARE ON PROPHYLACTIC HEPARIN UNTIL THEY¿RE ABLE TO TRANSITION TO ASPIRIN AND THAT ASPIRIN RESPONSIVENESS IS CHECKED IN EVERYONE PRIOR TO STOPPING HEPARIN.

    Patient problems: Thrombosis/Thrombus

    MAUDE report 12015795 ↗

Other PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER devices

All PROSTHESIS, VASCULAR GRAFT, OF 6MM AND GREATER DIAMETER devices →

Sources and updates

How reports and recalls are matched · Editorial policy · Report an error on this page