FDA Adverse Event Injury Summary report: N

TALENT ABDOMINAL STENT GRAFTY SYSTEM - HYDRO

MDR report key: 1581534 · Received January 13, 2010

Report

Report Number
2953200-2010-00038
Event Type
Injury
Date Received
January 13, 2010
Date of Event
December 15, 2009
Report Date
December 16, 2009
Manufacturer
MEDTRONIC CARDIOVASCULAR
Product Code
MIH
PMA / PMN Number
P070027
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

REQUIRED INTERVENTION. ENDOLEAK, INACCURATE STENT GRAFT DELIVERY.

Description of Event or Problem · 1

A TALENT ABDOMINAL STENT GRAFT SYSTEM WAS IMPLANTED IN A PATIENT FOR THE EMERGENT ENDOVASCULAR TREATMENT OF A 7.8 CM ABDOMINAL AORTIC ANEURYSM. VESSELS WERE MILDLY TORTUOUS AND MILDLY CALCIFIED. THE AORTIC NECK ANGULATION WAS LESS THEN 5 DEGREES, 10 MM IN LENGTH, AND WAS 27 MM IN DIAMETER AT THE RENAL ARTERIES AND 29 MM IN DIAMETER 10 MM BELOW THE RENAL ARTERY. IT WAS REPORTED THAT THE PATIENT PRESENTED EMERGENTLY WITH BACK PAIN AND HAD BACK PAIN FOR THREE DAYS PRIOR TO THE INTERVENTION. THE CT SHOWED A 7.8 CM ABDOMINAL ANEURYSM AND A 4.2 CM LEFT ILIAC ANEURYSM. AS THE BIFURCATED STENT GRAFT WAS BEING DEPLOYED, THE PHYSICIAN INADVERTENTLY PULLED THE STENT GRAFT DELIVERY CATHETER DOWN SLIGHTLY FURTHER THAN INTENDED, RESULTING IN A TYPE I ENDOLEAK. THE PHYSICIAN ELECTED TO PLACE A TALENT AORTIC CUFF AT THE RENAL ARTERY, WHICH SUCCESSFULLY RESOLVED THE ENDOLEAK. 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 GRAFTY SYSTEM - HYDRO MIH MEDTRONIC CARDIOVASCULAR NA V00145082N

Patients

Seq Age Sex Outcome Treatment
1 UNK Required Intervention