FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFT SYSTEM-HYDRO

MDR report key: 1363170 · Received April 14, 2009

Report

Report Number
2953200-2009-00450
Event Type
Injury
Date Received
April 14, 2009
Date of Event
March 23, 2009
Report Date
March 23, 2009
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

OTHER, SECONDARY INTERVENTION. EVALUATION: RESULTS: (ENDOLEAK) AND (AORTIC NECK IS 1 CM IN LENGTH WITH 60 DEGREE ANGULATION). CONCLUSION: (AORTIC NECK IS 1 CM IN LENGTH WITH 60 DEGREE ANGULATION).

Description of Event or Problem · 1

A TALENT ABDOMINAL STENT GRAFT SYSTEM WAS IMPLANTED IN A PT FOR THE ENDOVASCULAR TREATMENT OF AN ABDOMINAL AORTIC ANEURYSM. ANEURYSM MORPHOLOGY WAS NOT REPORTED. VESSEL MORPHOLOGY WAS REPORTED AS THE AORTIC NECK IS 1 CM IN LENGTH WITH 60 DEGREE ANGULATION. THE NECK MEASURES 24 MM IN DIAMETER AND THE ILIAC MEASURE 13-14 MM IN DIAMETER. THE STENT GRAFT SYSTEM WAS IMPLANTED HOWEVER, UPON FINAL ANGIOGRAM THERE WAS A TYPE I ENDOLEAK. THE PHYSICIAN PLACED AN ANEURX STENT GRAFT HOWEVER, THE ENDOLEAK DID NOT RESOLVE. (MDR- 2952300-2009-00451). THE PHYSICIAN PLACED A PALMAZ STENT AND THE TYPE I ENDOLEAK RESOLVED. IT WAS REPORTED THAT DURING THE INSERTION OF EITHER THE ANEURX CUFF OR PALMAZ STENT THE ILIAC LIMB WAS REPOSITIONED PROXIMALLY ABOUT 1 CM ABOVE THE FLOW DIVIDER (MDR- 2952300-2009-00452). THE PHYSICIAN PLACED A SECOND ILIAC LIMB TO COVER THE AREA WHERE THE FIRST ILIAC LIMB HAD BEEN MOVED. THE PHYSICIAN IS UNSURE WHEN THE CONTRA ILIAC STENT GRAFT LIMB WAS PUSHED ABOVE THE FLOW DIVIDER BUT THE PHYSICIAN BELIEVES IT MAY HAVE OCCURRED WHEN CHANGING THE VARIOUS EXCHANGES TO REPAIR THE TYPE 1 LEAK. NO ADDITIONAL SEQUELAE WERE REPORTED AND THE PT IS FINE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 TALENT ABDOMINAL STENT GRAFT SYSTEM-HYDRO MIH MEDTRONIC CARDIOVASCULAR NA V00183185

Patients

Seq Age Sex Outcome Treatment
1 86 YR Required Intervention