FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM

MDR report key: 1192583 · Received October 8, 2008

Report

Report Number
2953200-2008-00911
Event Type
Injury
Date Received
October 8, 2008
Date of Event
September 9, 2008
Report Date
September 9, 2008
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070027
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

EVALUATION CODES: RESULTS: ANOTHER MANUFACTURER'S BALLOON. ENDOLEAK, RUPTURED VESSEL. CONCLUSION: ANOTHER MANUFACTURER'S BALLOON.

Description of Event or Problem · 1

A TALENT STENT GRAFT SYSTEM WAS IMPLANTED FOR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. ANEURYSM MORPHOLOGY WAS NOT REPORTED. VESSEL MORPHOLOGY WAS REPORTED AS NO TORTUOSITY AND MILD CALCIUM. IT WAS REPORTED THAT THE BIFURCATED STENT GRAFT WAS IMPLANTED AND THEN THE CONTRALATERAL LIMB WAS IMPLANTED. UPON FINAL ANGIOGRAM, THERE WAS A TYPE 1 ENDOLEAK AT THE PROXIMAL END OF THE BIFURCATED STENT GRAFT. AN AORTIC CUFF WAS PLACED TO TREAT THE PROXIMAL TYPE 1 ENDOLEAK. A SECOND TYPE I ENDOLEAK WAS DISCOVERED AFTER PLACEMENT OF THE CUFF. THE PHYSICIAN ELECTED TO BALLOON THE CUFF USING ANOTHER MANUFACTURER'S BALLOON. UPON INFLATION OF THE BALLOON, THE VESSEL WALL WAS PERFORATED APPROXIMATELY 25 MM BELOW THE RENAL ARTERY. THE BALLOON WAS INFLATED WITHIN THE BIFURCATED SECTION OF THE STENT GRAFT. THE PHYSICIAN ELECTED TO PLACE TWO AORTIC CUFFS FROM ANOTHER MANUFACTURER TO THE RENAL ARTERY. 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 V00100087

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention