FDA Adverse Event
Injury
Summary report: N
TALENT ABDOMINAL STENT GRAFT SYSTEM
MDR report key: 1062094
·
Received June 18, 2008
Report
- Report Number
- 2953200-2008-00429
- Event Type
- Injury
- Date Received
- June 18, 2008
- Date of Event
- May 27, 2008
- Report Date
- May 27, 2008
- Manufacturer
- MEDTRONIC CARDIOVASCULAR
- Product Code
- MIH
- PMA / PMN Number
- P070027
- Removal / Correction Number
- NA
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- NY, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
CONCLUSION: UNABLE TO SEE THE ENDOLEAK ON THE ANGIOGRAM). SECONDARY INTERVENTION PERFORMED.
Description of Event or Problem · 1
A TALENT STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. IT WAS REPORTED THAT THE FINAL ANGIOGRAM DID NOT REVEAL A TYPE I ENDOLEAK, HOWEVER, THE CARDIO-MEMS SENSOR DETECTED AN ENDOLEAK. THE PHYSICIAN STATED THERE WAS NO EVIDENCE OF AN ENDOLEAK ON THE FINAL ANGIOGRAM/FILM, HOWEVER, THE PHYSICIAN ELECTED TO PLACE ANOTHER MANUFACTURER'S STENT. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TALENT ABDOMINAL STENT GRAFT SYSTEM | MIH | MEDTRONIC CARDIOVASCULAR | NA | V00099019 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK | Required Intervention |