FDA Adverse Event Injury Summary report: N

TALENT THORACIC STENT GRAFT SYSTEM

MDR report key: 1083002 · Received July 28, 2008

Report

Report Number
2953200-2008-00605
Event Type
Injury
Date Received
July 28, 2008
Date of Event
June 29, 2008
Report Date
June 29, 2008
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070007
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MO, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION RESULTS: ENDOLEAK, RUPTURED ANEURYSM. CONCLUSION: DEVELOPMENT OF A PSEUDOANEURYSM.

Description of Event or Problem · 1

A TALENT THORACIC STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE ENDOVASCULAR TREATMENT OF A THORACIC AORTIC ANEURYSM OVER 4 YEARS AGO AS PART OF A CLINICAL TRIAL. THE STENT GRAFTS WERE SUCCESSFULLY IMPLANTED AND THE PATIENT WAS TRANSFERRED TO THE RECOVERY ROOM IN STABLE CONDITION. ANEURYSM AND VESSEL MORPHOLOGY AT TIME OF IMPLANT WERE NOT REPORTED. IT WAS REPORTED THAT THERE WAS A TYPE 1 ENDOLEAK NOTED 3 YEARS POST IMPLANT BUT REFUSED TREATMENT. APPROXIMATELY ONE MONTH AGO, THE PATIENT PRESENTED WITH A LARGE TYPE 1 ENDOLEAK FILLING AN ANEURYSM/PSEUDOANEURYSM WHICH WAS MOST LIKELY COMMUNICATING WITH A CONTAINED RUPTURE OF THE AORTIC ARCH (DESCENDING AORTA). THE PATIENT WAS SURGICALLY TREATED WITH TOTAL AORTIC ARCH RECONSTRUCTION AND DACRON GRAFTS. FOUR TALENT THORACIC STENT GRAFTS WERE ALSO USED TO REPAIR THE TYPE 1 ENDOLEAK AS WELL AS A TYPE 3 ENDOLEAK COMING FROM SEPARATION BETWEEN COMPONENT 1 AND 2. A RELIANT BALLOON WAS USED TO MOLD THE STENT GRAFTS. A COMPLETION THORACIC ANGIOGRAM SUGGESTED THAT THERE WAS NO ENDOLEAK AND EXCELLENT FLOW THROUGH ALL THE GRAFT COMPONENTS. NO ADDITIONAL CLINICAL SEQUELAE WERE REPORTED AND THE PATIENT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT THORACIC STENT GRAFT SYSTEM MIH MEDTRONIC CARDIOVASCULAR NA 108021

Patients

Seq Age Sex Outcome Treatment
1 76 YR Required Intervention